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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. LUIS A BLANCO, PAC

Active

MR. LUIS A BLANCO, PAC is a Medical Physician Assistant healthcare provider located in CORONA, New York. NPI 1043532179 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · CORONA, NY

Registration Details

NPI Number
1043532179
Provider Type
Individual
Gender
Male
NPI Issued
Feb 16, 2010 (16.459904456977 yrs)
Last Updated
Apr 19, 2018
License
005075-1 (NY)

Practice Information

Address
10211 ROOSEVELT AVE
CORONA, NY, 113682331
Browse NY providers · Browse ZIP 11368
Phone
7188981386
Fax
7188981093
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in CORONA, NY

Name Credential NPI
MS. IVANNIA NASTASHIA ALVAREZ-BARTO RPA-C 1851513121
MR. ALFREDO D MADURO SR. RPAC 1932395068
LUIS U HAMMER P.A. 1801077482
GRISELLE VILLAR LEDESMA 1255710240
KRYSTEN VAZQUEZ MMS, RPAC 1366978702
BATYA PAPA PA-C 1083170971
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.