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MR. LUIS A BLANCO PAC
NPI 1043532179
Physician Assistant - Medical in Corona, NY

Active since February 16, 2010
10211 ROOSEVELT AVE, CORONA, NY 11368(718) 898-1386(718) 898-1093 Get Directions Write a Review

NPPES record last updated: April 19, 2018. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mr. Luis A Blanco Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. LUIS A BLANCO PAC (NPI 1043532179) is an individual medical provider in Corona, New York, licensed in New York (005075-1) and active in the NPI registry since February 2010.

NPPES Registry Identity

NPI1043532179
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. LUIS A BLANCOCredential: PAC
Location Address10211 ROOSEVELT AVECorona, NY 11368-2331
Mailing Address25 Jackson AveWhite Plains, NY 10606-2216 · (917) 572-6810
Phone(718) 898-1386
Fax(718) 898-1093
Sole ProprietorNo
Enumeration DateFebruary 16, 2010
Last NPPES UpdateApril 19, 2018
✔ NPI 1043532179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 005075-1
10211 ROOSEVELT AVE, Corona, NY 11368
Open in Google Maps ↗

Other Identifiers 1

Other005075-1NY · License No

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PM PEDIATRICS OF CORONA
Emergency Medical Technician, Basic
10211 ROOSEVELT AVE
CORONA, NY 11368
Queens County (718) 458-5437
DHARMA DILIA HERRERA VASQUEZ MD
Pediatrics
10211 ROOSEVELT AVE
CORONA, NY 11368
Queens County (718) 898-5200
YEH LING YIIN DILLON MD
Pediatrics
10211 ROOSEVELT AVE
CORONA, NY 11368
Queens County (718) 898-5200
NOHELY YARASSELL URIBE NP
Nurse Practitioner (Family)
10211 ROOSEVELT AVE
CORONA, NY 11368
Queens County (718) 898-5200
DR. JAVIER ALEJANDRO CASTRO VALENZUELA M.D.
Pediatrics
10211 ROOSEVELT AVE
CORONA, NY 11368
Queens County (718) 898-5200
DIANA VANESSA RINCONMARIN MD
Pediatrics
10211 ROOSEVELT AVE
CORONA, NY 11368
Queens County (718) 895-5200
EMMANOUIL D TSOUNIAS MD
Pediatrics (Pediatric Cardiology)
10211 ROOSEVELT AVE
CORONA, NY 11368
Queens County (718) 898-5200
DR. CERVANTES B PENA M.D
Pediatrics
10211 ROOSEVELT AVE
CORONA, NY 11368
Queens County (718) 898-5200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luis Blanco's NPI number?

The NPI number for Luis Blanco is 1043532179. It was assigned to this individual provider in the NPPES registry on February 16, 2010.

Where is Luis Blanco located?

Luis Blanco practices at 10211 Roosevelt Ave, Corona, NY 11368. The listed phone number is (718) 898-1386.

What is Luis Blanco's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Luis Blanco was last updated on April 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.