Blanca Patricia Carballido
Individual provider Active NPI Registered Nurse · East Patchogue, NY
NPI 1194951376 · NPPES record last updated Jun 2, 2009
Key facts
- NPI
- 1194951376
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 533381 (NY)
- Practice address
- 932 Americus Ave
East Patchogue, NY 11772-5019 - Phone
- (631) 803-2895
- Fax
- (631) 803-2895
- NPI assigned
- Jun 2, 2009
- 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 |
|---|---|---|---|
| 533381 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 533381 | NY | Yes |
Addresses
Primary practice location
932 Americus Ave
East Patchogue, NY 11772-5019
Mailing address
932 Americus Ave
East Patchogue, NY 11772-5019
Phone (631) 803-2895
Other providers in East Patchogue, NY
- Megan E Byrne
- Rachel Campitiello
- Darek A. Candelore
- Robert Capizzi
- Christine Anne Capurso
- Zachary Cassetta
- Chidambaranathan Chandrasekaran
- Joel Myladoor Chandy
- Pierre Wisly Charles
- Robert M Chernaik
All providers in East Patchogue, NY · Registered Nurse 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 Jun 2, 2009. 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.