Individual
DR. MICHAEL ANDREW BLASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
378 SEAVIEW AVE, STATEN ISLAND, NY 10305-2200
(718) 226-6110
Mailing address
1 S CLINTON AVE APT 2103, ROCHESTER, NY 14604-1744
(847) 609-9580
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036.158067
IL
207Y00000X
Otolaryngology Physician
313587-01
NY
Other
Enumeration date
04/02/2014
Last updated
11/10/2021
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