LUIS A BLANCO

CORONA, NY
NPI1043532179
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  005075-1)
Enumeration Date2010-02-16
Last Update Date2018-04-19
Business Address
Mr. LUIS A BLANCO PAc
10211 ROOSEVELT AVE
CORONA, NY 11368-2331
Phone number: 718-898-1386
Mailing Address
Mr. LUIS A BLANCO PAc
25 JACKSON AVE
WHITE PLAINS, NY 10606-2216
Phone number: 917-572-6810
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