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CARLITA ANDREA BLANCO CR

Individual Provider (NPI-1) Active

Community/Behavioral Health

Provider Information

NPI Number
1336834134
Provider Type
Individual Provider (NPI-1)
Credentials
CR
Status
Active

Contact & Location

Address
1460 BROADWAY, NEW, NY, 10018
Phone
(646) 504-3291

Specialties & Taxonomies

Drama Therapist
Assistant Behavior Analyst License: DC #000856816
Contractor, Home Modifications
Specialist, Research Study
Specialist, Research Study License: DC #000856816
Specialist, Research Study License: NY #757397735
Recreation Therapist
Home Health
In Home Supportive Care
Home Delivered Meals
Adult Companion
Homemaker
Prevention Professional License: GU #547-897-1287
Community/Behavioral Health Primary

All Addresses

LOCATION

1460 BROADWAY

NEW, NY, 10018

(646) 504-3291

MAILING

228 E 135TH ST

BRONX, NY, 104516433

(646) 504-3291