NPI Registry.org

Kiara Lynn Blandeburgo

NPI Registration Record

Provider / OrganizationNPIDate Certified
KIARA LYNN BLANDEBURGO12156737102022-05-08

Kiara Lynn Blandeburgo is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1215673710. Registration indicates Kiara Lynn Blandeburgo is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)

Entity TypeIndividual
Provider Name Kiara Lynn Blandeburgo
Practice Office Address25 CEDAR AVE
MEDFORD, NY US
Practice Office Telephone6317741398
Mailing Address25 CEDAR AVE
MEDFORD, NY 117633501 US
Business Telephone6317741398
HPT Codes
CodePractice
License No
State
363A00000X PRIMARYAccess to Adult/Geriatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician AssistantAccess to Pediatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
All Other Specialties & Provider Types

Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
OPI Codes
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