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VIVIAN SALVADOR BLANCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
1101 NOTT ST, SCHENECTADY, NY 12308-2425
(518) 243-4000
Mailing address
1947 HILLSIDE AVE, NISKAYUNA, NY 12309-4017

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403483
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F403483
LICENSE REGISTRATION NUMBER
NY
Enumeration date
07/11/2021
Last updated
07/20/2021
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