Organization
JOSEPH A BLANCO M D P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH A BLANCO M.D. (SOLE OWNER)
(516) 627-0033
Entity
Organization
Contact information
Practice address
133 PLANDOME RD, MANHASSET, NY 11030-2331
(516) 627-0033
(516) 627-7354
Mailing address
133 PLANDOME RD, MANHASSET, NY 11030-2331
(516) 627-0033
(516) 627-7354
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0709499
—
NY
Enumeration date
10/05/2011
Last updated
11/02/2011
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