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Individual

JOHN S BLANCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
535 EAST 70TH STREET, NEW YORK, NY 10021-4823
(646) 797-8366
(646) 797-8361
Mailing address
PO BOX 29234, NEW YORK, NY 10087-9234
(631) 329-6925
(631) 329-6951

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
155915
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02942372
NY
Enumeration date
01/13/2006
Last updated
05/19/2016
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