Provider Demographics
NPI:1154694180
Name:Y R BLANC & CO. LLC
Entity type:Organization
Organization Name:Y R BLANC & CO. LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:YVES-RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BLANC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-332-1633
Mailing Address - Street 1:1275 MAIN ST STE 120
Mailing Address - Street 2:SUITE 205
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14209-1911
Mailing Address - Country:US
Mailing Address - Phone:716-332-1633
Mailing Address - Fax:716-332-1634
Practice Address - Street 1:1275 MAIN ST STE 120
Practice Address - Street 2:SUITE 205
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14209-1911
Practice Address - Country:US
Practice Address - Phone:716-332-1633
Practice Address - Fax:716-332-1634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-22
Last Update Date:2015-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies