Blanco, Teresa F.
Blanco, Teresa F. is an sole proprietor health care provider with primary practice located at 10401 Roosevelt Ave , Corona NY 11368-2327. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Blanco, Teresa F. can be contacted via phone (718) 672-1800.Contact Information
Primary practice address
10401 Roosevelt Ave
Corona NY 11368-2327
Phone: (718) 672-1800
Fax: (718) 424-6876
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 117416 | New York |
Profile Details
| NPI number | 1447384870 |
|---|---|
| LBN Legal business name | Blanco, Teresa F. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1447384870 | NPPES |
| New York | MEDICAID | 00217607 |
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