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Contact Information

RICHARD H BLANCK, MD
1991 MARCUS AVENUE
SUITE 110
LAKE SUCCESS, NY11042-2057
 Phone: 516-466-4700
 Fax: 516-466-4810
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for RICHARD H BLANCK · (Male)

NPI # 1548247125
Status Active
Credentials MD
Entity Individual
Enumeration date 12/27/2005
Last updated 03/04/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 120724
  • NY License # 120724-1
  • NY Other 887956 AETNA HMO
  • NY Other 4394255 AETNA MC/PPO/EPO
  • NY Other 112434927 ANTHEM HEALTH NETWORK
  • NY Other 112434927 BEECH STREET CORPORATION
  • NY Other 0266413002 CIGNA HEALTHCARE
  • NY Other 0350431 EMPIRE HEALTHCHOICE
  • NY Other 173484 EMPIRE PLAN/UNITED HEALTH
  • NY Other 112434927 FIRST HEALTH
  • NY Other 112434927 HORIZON HEALTHCARE
  • NY Other 112434927 MULTIPLAN
  • NY Other 112434927 ONE HEALTH PLAN
  • NY Other AS1292 OXFORD HEALTH PLAN
  • NY Other 112434927 PHCS
  • NY Other OC2810 PHS/ACS
  • NY Other 112434927 SELECT PRO
  • NY Other 112434927 TPA/BENESIGHT
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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