Blandon, Sandra

Blandon, Sandra is an individual health care provider with primary practice located at 235 Port Richmond Ave , Staten Island NY 10302-1701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Blandon, Sandra can be contacted via phone (718) 876-1732.

Contact Information

Primary practice address
235 Port Richmond Ave Staten Island NY 10302-1701
Phone: (718) 876-1732
Fax: (718) 876-3459
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 334411 New York

Profile Details

NPI number 1013905132
LBN Legal business name Blandon, Sandra
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Nov 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013905132 NPPES
New York MEDICAID 025685606

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