Blanco, Miguel L
Blanco, Miguel L is an individual health care provider with primary practice located at 951 Roanoke Ave , Riverhead NY 11901-2724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Blanco, Miguel L can be contacted via phone (631) 727-7773.Contact Information
Primary practice address
951 Roanoke Ave
Riverhead NY 11901-2724
Phone: (631) 727-7773
Fax: (631) 369-4994
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 180073-1 | New York |
Profile Details
| NPI number | 1235127861 |
|---|---|
| LBN Legal business name | Blanco, Miguel L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 7th, 2005 |
| Last updated | Sep 20th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235127861 | NPPES |
| New York | MEDICAID | 01231781 |
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