# LAWRENCE BLUM, M.D., P.C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417381880
- **Authorized official:** MS. DEBORAH VARELA (BILLING MANAGER)
- **Authorized official phone:** (212) 751-8374

## Contact information

- **Practice address:** 572 PARK AVE., GROUND FL, NEW YORK, NY 10065
- **Practice address phone:** (212) 751-8374
- **Practice address fax:** (212) 751-8374
- **Mailing address:** 572 PARK AVE., GROUND FL, NEW YORK, NY 10065
- **Mailing address phone:** (212) 751-8374
- **Mailing address fax:** (212) 751-8374

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 188611 | NY | Yes |

## Other

- **Enumeration date:** 08/21/2013
- **Last updated:** 08/21/2013