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Luis Blanco, PAC

NPI 1043532179 · on the registry since 2010

Practice

Address
10211 Roosevelt Ave
Corona, NY 11368
Phone
(718) 898-1386
Fax
(718) 898-1093
Organisation at this address
Sop Medical Pc
E T Medical Pllc
Pm Pediatrics Of Corona
National Pediatric Md Pc
Maria C. Coe, Msrd,Cdn,Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-04-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York