Individual
KIRSTEN BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7860
Mailing address
700 SHORE RD APT 4G, LONG BEACH, NY 11561-4716
(631) 786-9220
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
431398
NY
Other
Enumeration date
06/15/2018
Last updated
10/25/2018
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