Edison Roque Blanco is a Family Medicine Physician based in Bay Shore, NY. Edison Roque Blanco practices in Bay Shore, NY and has the professional credentials of MD. The NPI Number for Edison Roque Blanco is 1184633687 and holds a License No. 189607 (New York).
The current practice location address for Edison Roque Blanco is 16 Brentwood Rd, Bay Shore, NY and can be reached out via phone at 631-969-7875 and via fax at 631-969-7883. You can also correspond with Edison Roque Blanco through the mailing address at 16 BRENTWOOD RD, BAY SHORE, NY - 11706-8011 (mailing address contact number: 631-969-7875).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01634335 | 05 | NY |
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