Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Edison R. Blanco Physician PC

Organization Family Medicine Physician · NPI 1669631032

Edison R. Blanco Physician PC is a Family Medicine Physician in Bay Shore, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16 Brentwood Rd
Bay Shore, NY 11706-8011
Phone: (631) 969-7875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 189607 (NY)

Record details

NPI number1669631032
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edison Blanco — Owner · (631) 969-7875
NPI enumeratedJune 2, 2008
Last updated in NPPESSeptember 8, 2008
Mailing address16 Brentwood Rd, Bay Shore, NY 11706-8011

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