Patricia Blanco
Individual provider Active NPI Speech-Language Pathologist · Oakdale, NY
NPI 1013380252 · NPPES record last updated Nov 10, 2015
Key facts
- NPI
- 1013380252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 002495-1 (NY)
- Practice address
- 336 Shore Dr
Oakdale, NY 11769-2328 - Phone
- (631) 750-5290
- NPI assigned
- Nov 10, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002495-1 | NY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 002495-1 | NY | Yes |
Addresses
Primary practice location
336 Shore Dr
Oakdale, NY 11769-2328
Mailing address
336 Shore Dr
Oakdale, NY 11769-2328
Phone (631) 750-5290
Other providers in Oakdale, NY
- Mary Ann Beatty
- Al Ira Berger
- Jared Ross Beyer
- Roberta Biancuzzo Staebler
- Brandon Bjertnes
- Amanda R Bloom
- Laurie Ann Bonomo
- Roslyn M Bowen
- Lisa Brander
- Lindsey Rose Brown
All providers in Oakdale, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.