Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDISON ROQUE BLANCO, M.D.
Active Sole ProprietorDR. EDISON ROQUE BLANCO, M.D. is a Family Medicine healthcare provider located in BAY SHORE, New York. NPI 1184633687 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · BAY SHORE, NY
Registration Details
- NPI Number
- 1184633687
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 5, 2006 (20.046321715603 yrs)
- Last Updated
- Jul 8, 2007
- License
-
189607 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
16 BRENTWOOD RDBAY SHORE, NY, 117068011Browse NY providers · Browse ZIP 11706
- Phone
- 6319697875
- Fax
- 6319697883
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in BAY SHORE, NY
| Name | Credential | NPI |
|---|---|---|
| DR. LOUIS F LOIODICE | DO | 1255328274 |
| CLAUDIA J SELGRAD | DO | 1396717799 |
| DULCE M ALMANZAR | M.D. | 1760458715 |
| DR. ANTHONY JOSEPH RIZZO | DO | 1194736470 |
| TOCHI IROKU-MALIZE | MD | 1730284647 |
| DR. MARTHA DELGADILLO PILCHMAN | M.D. | 1104923002 |
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.