MR. Luis A Blanco, PAC

NPI #1043532179 in Corona, New York

Provider Information

NPI Number
1043532179
Entity Type
Individual
Name
MR. Luis A Blanco, PAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PAC
Enumeration Date
Feb 16, 2010
Last Updated
Apr 19, 2018

Practice Location

Address
10211 ROOSEVELT AVE
City
Corona
ZIP Code
11368-2331
Phone
(718) 898-1386

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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