Individual
DR. BRIAN PAUL BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
247 E 28TH ST, APARTMENT 17A, NEW YORK, NY 10016-8508
(210) 834-7678
Mailing address
247 E 28TH ST, APARTMENT 17A, NEW YORK, NY 10016-8508
(210) 834-7678
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
00217662
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00217662
—
NY
Enumeration date
08/02/2006
Last updated
07/09/2007
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