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Individual
EDWARD BLUM
Active
Individual
EDWARD BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0067451
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006754-A81
HEALTHFIRST #
NY
01
—
0125088
AETNA HMO #
NY
01
—
0469643000
AMERIHEALTH #
NY
01
—
1000001747
AFFINITY #
NY
01
—
109258200
DEPARTMENT OF LABOR #
NY
01
—
128588
MPN #
NY
01
—
133586197
TAX IDENTIFICATION #
NY
01
—
2C1509
HEALTHNET #
NY
01
—
5526049
AETNA PPO #
NY
01
—
Q6643
EMPIRE #
NY
Enumeration date
09/15/2005
Last updated
02/06/2024
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