| Mr Luis A Blanco, PAC | |
|
10211 Roosevelt Ave, Corona, NY 11368-2331 | |
| (718) 898-1386 | |
| (718) 898-1093 |
| Full Name | Mr Luis A Blanco |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 10211 Roosevelt Ave, Corona, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043532179 | NPI | - | NPPES |
| 005075-1 | Other | NY | LICENSE NO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 005075-1 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Luis A Blanco, PAC 25 Jackson Ave, White Plains, NY 10606-2216 Ph: (917) 572-6810 | Mr Luis A Blanco, PAC 10211 Roosevelt Ave, Corona, NY 11368-2331 Ph: (718) 898-1386 |
Ruoru Wong, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3717 111th St Apt 5e, Corona, NY 11368 Phone: 347-893-4912 | |
Jose Dario Ovalle, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 102 11 Roosevelt Ave., Corona, NY 11368 Phone: 717-898-5200 Fax: 718-898-3673 | |
Christian Diaz, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3716 108th St, Corona, NY 11368 Phone: 718-651-4000 | |
Griselle Villar Ledesma, Physician Assistant Medicare: Medicare Enrolled Practice Location: 10427 Corona Ave, Corona, NY 11368 Phone: 718-592-3458 | |
Mrs. Arlene Marie Luciano, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3418 106th St, Corona, NY 11368 Phone: 917-807-6199 | |
Krysten Vazquez, MMS, RPAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3716 108th St, Corona, NY 11368 Phone: 718-651-4000 |