KENNETH ALLEN BLANK

HUNTINGTON, NY
NPI1083774780
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: NY  013740)
Enumeration Date2006-12-11
Last Update Date2007-07-08
Business Address
Dr. KENNETH ALLEN BLANK Psy.D.
755 NEW YORK AVE SUITE 200
HUNTINGTON, NY 11743-4240
Phone number: 631-385-1358
Mailing Address
Dr. KENNETH ALLEN BLANK Psy.D.
47 WOODBURY RD
HAUPPAUGE, NY 11788-4729
Phone number: 631-385-1358
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