Individual
LAURENCE BLUMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
27 W 86TH ST, NEW YORK, NY 10024-3615
(212) 734-7405
Mailing address
27 W 86TH ST # 14A, NEW YORK, NY 10024-3615
Taxonomy
Speciality
Code
Description
License number
State
207QP0002X
Physician Nutrition Specialist (Family Medicine)
Primary
268161
NY
Other
Enumeration date
07/20/2009
Last updated
12/05/2025
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