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

ALTAGRACE GILBERT BLANCHARD

Active Sole Proprietor

ALTAGRACE GILBERT BLANCHARD is a Licensed Practical Nurse healthcare provider located in LAKE RONKONKOMA, New York. NPI 1568252161 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · LAKE RONKONKOMA, NY

Registration Details

NPI Number
1568252161
Provider Type
Individual
Gender
Female
NPI Issued
May 8, 2025 (1.269324852168 yrs)
Last Updated
May 8, 2025
License
33454001 (NY)
Sole Proprietor
Yes

Practice Information

Address
153 LAKE SHORE RD
LAKE RONKONKOMA, NY, 117793157
Browse NY providers · Browse ZIP 11779
Phone
8448151508
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in LAKE RONKONKOMA, NY

Name Credential NPI
MS. MEGAN MELISSA CRAIN LPN 1710253794
MISS MEAGAN MCGUIGAN L.P.N. 1013317437
MISS JEE KIM LPN 1891150298
AMANDA LITTLE L.P.N. 1013377662
NICHOLAS MARTIN PASCULLO LPN 1629590617
ANNA ELAINE WEISS LPN 1811408354
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.