NPI 1033565288

Juan Jorge Blanco, SAC

Practitioner Surgical Assistant Williamsville, NY

Practice location

Address: 1540 Maple Rd, Williamsville, NY 14221-3647
Phone: (716) 480-2996
Fax: (716) 204-8990
Mailing address: 120 Northington Dr, East Amherst, NY 14051-1725

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence 16-314 (NY)

Other Specialist/Technologist, Other providers in New York →

Registry record

NPI: 1033565288
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 May 2016
Record last updated: 6 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.