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Individual
KELSEY BLUMENSTOCK
Active
Individual
KELSEY BLUMENSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355940
—
NY
01
—
1285628552
AGENCIES
NY
01
—
WVE061
MEDICARE
NY
Enumeration date
12/21/2015
Last updated
12/21/2015
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