Individual
DOUGLAS BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
438 W 51ST ST, NEW YORK, NY 10019-6503
(212) 333-7300
Mailing address
1 BELL SLIP APT 2D, BROOKLYN, NY 11222-7600
(917) 397-3995
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
26NR24234500
NJ
163WR0006X
Registered Nurse First Assistant
Primary
762921
NY
Other
Enumeration date
11/22/2025
Last updated
11/22/2025
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