Abigail Jen Blank, MS

Primary specialty

SpecialistTaxonomy code 174400000X

License

2390556 Issued in NY

Practice address

366 New York Ave
Brooklyn, NY 11213-4228

Phone

(718) 363-9313

NPI assigned

Jun 24, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340496000000",
    "number": "1619230604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 NEW YORK AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112134228",
            "telephone_number": "718-363-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 NEW YORK AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112134228",
            "telephone_number": "718-363-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANK",
        "first_name": "ABIGAIL",
        "middle_name": "JEN",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-24",
        "last_updated": "2012-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "2390556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Bland, R.N.
• Leah P Blander
• Cynthia C Blanding
• Marissa Blando, MS OTR/L
• Nicky Blando
• Emil Blank, D.D.S
• Emily Blank
• Etosha Marie Blank
• Marsha Blank, L.C.S.W.
• Molly Blank, LMSW

• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.