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CARLITA ANDREA BLANCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CR

Contact information

Practice address
1460 BROADWAY, NEW, NY 10018
(646) 504-3291
Mailing address
228 E 135TH ST, BRONX, NY 10451-6433
(646) 504-3291

Taxonomy

Speciality
Code
Description
License number
State
101200000X
Drama Therapist
106E00000X
Assistant Behavior Analyst
000856816
DC
171WH0202X
Home Modifications Contractor
1744R1102X
Research Study Specialist
000856816
DC
1744R1102X
Research Study Specialist
757397735
NY
1744R1102X
Research Study Specialist
225800000X
Recreation Therapist
251E00000X
Home Health Agency
251S00000X
Community/Behavioral Health Agency
Primary
253Z00000X
In Home Supportive Care Agency
332U00000X
Home Delivered Meals
372600000X
Adult Companion
376J00000X
Homemaker
405300000X
Prevention Professional
547-897-1287
GU

Other

Enumeration date
04/07/2023
Last updated
08/17/2025
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