| Doctor Name: | MS. ANASTASIA BLANCHARD |
| NPI Number: | 1063599819 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NPP |
| License Number: | F400492-1 |
| Business Practice Address: | 107 Ocean Ave Bay Shore, NY - 117068717 |
| Business Phone Number: | 6313834320 |
| Business Fax Number: | |
| Mailing Address: | 107 Ocean Ave, BAY SHORE |
| State: | NY |
| Postal Code: | 11706 |
| Phone Number: | 6313834320 |
| Fax Number: | |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | F400492-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |