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Ms. Maryellen Blank, NP
Adult Psychiatric/Mental Health Clinical Nurse Specialist in West Islip, New York
NPI 1609930015

Maryellen Blank is an Adult Psychiatric/Mental Health Clinical Nurse Specialist based in West Islip, NY and is specialized in Psychiatric/Mental Health, Adult. Maryellen Blank practices in West Islip, NY and has the professional credentials of NP. The NPI Number for Maryellen Blank is 1609930015 and holds a License No. 400620 (New York).

The current practice location address for Maryellen Blank is 170 Driftwood Dr, West Islip, NY and can be reached out via phone at 631-422-7362.

Location: 170 Driftwood Dr, West Islip, NY, 11795-5002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609930015
Provider Name
Maryellen Blank
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
170 Driftwood Dr, West Islip, NY, 11795-5002
Phone Number
631-422-7362
Fax Number
Provider Enumeration Date
12/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
170 Driftwood Dr
City
West Islip
State
New York
Zip
11795-5002
Phone Number
631-422-7362
Fax Number
person
Provider Business Mailing Address Details
Address
170 Driftwood Dr
City
West Islip
State
New York
Zip
11795-5002
Phone Number
631-422-7362
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
364SP0809X
License No.
400620 (New York)
Definition
Definition to come...
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