Individual
CARLOS BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 W 81ST ST STE 1B, NEW YORK, NY 10024-6023
(917) 617-3245
(202) 301-1282
Mailing address
1111 23RD ST NW APT 6A, WASHINGTON, DC 20037-3323
(917) 617-3245
(202) 301-1282
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101274737
VA
2084P0800X
Psychiatry Physician
Primary
209066
NY
2084P0800X
Psychiatry Physician
25MA11522700
NJ
2084P0800X
Psychiatry Physician
D0080358
MD
2084P0800X
Psychiatry Physician
EMC0002024
MI
2084P0800X
Psychiatry Physician
MD20000103
DC
2084P0800X
Psychiatry Physician
ME153012
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209066
—
NY
Enumeration date
04/02/2007
Last updated
06/23/2023
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