Provider Demographics
NPI:1982335774
Name:BLANDINO, JANINE A
Entity Type:Individual
Prefix:
First Name:JANINE
Middle Name:A
Last Name:BLANDINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 BANKER DR
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10918-1751
Mailing Address - Country:US
Mailing Address - Phone:845-610-3506
Mailing Address - Fax:
Practice Address - Street 1:2 BANKER DR
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:NY
Practice Address - Zip Code:10918-1751
Practice Address - Country:US
Practice Address - Phone:845-610-3506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-22
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator