Individual
DR. KENNETH NEIL BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
92 ORANGE AVE, SUFFERN, NY 10901-5408
(845) 357-0699
(845) 504-0732
Mailing address
92 ORANGE AVE, SUFFERN, NY 10901-5408
(845) 357-0699
(845) 504-0732
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X010842
NY
Other
Enumeration date
02/08/2007
Last updated
01/27/2017
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