Blanco, Grisco S

Blanco, Grisco S is an individual health care provider with primary practice located at 8900 Van Wyck Expy Jamaica Queens, Richmond Hill NY 11418-2897. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Blanco, Grisco S can be contacted via phone (718) 206-7095.

Contact Information

Primary practice address
8900 Van Wyck Expy Jamaica Queens Richmond Hill NY 11418-2897
Phone: (718) 206-7095
Fax: (718) 206-7169
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 170607 New York

Profile Details

NPI number 1851477285
LBN Legal business name Blanco, Grisco S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Jul 8th, 2007 - about 19 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 1851477285 NPPES
New York MEDICAID 01845032

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