Individual
MS. CONSTANCE ANN DIFORTE-BLANCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8620 18TH AVE, 2ND FLOOR, BROOKLYN, NY 11214-3702
(718) 256-8818
(718) 234-2314
Mailing address
8620 18TH AVE, 2ND FLOOR, BROOKLYN, NY 11214-3702
(718) 256-8818
(718) 234-2314
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
324468-1
NY
Other
Enumeration date
09/24/2010
Last updated
09/24/2010
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