Individual
TERESA BLANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
770 GRAND BLVD, DEER PARK, NY 11729-5750
(646) 801-0617
Mailing address
267 TORONTO AVE, MASSAPEQUA, NY 11758-4038
(516) 375-0843
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
38748
NY
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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