Individual
DR. DAVID J BLANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
160 N STATE RD, BRIARCLIFF MANOR, NY 10510-1403
(914) 773-6115
Mailing address
17 HOWE ST, SOUTH SALEM, NY 10590-1308
(917) 579-9335
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
019576
NY
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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