Individual
ANDREA BLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
876 SUNRISE HWY STE 20, BAY SHORE, NY 11706-5908
(631) 848-3772
(631) 532-1566
Mailing address
876 SUNRISE HWY STE 20, BAY SHORE, NY 11706-5908
(631) 848-3772
(631) 532-1566
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
5104-1
NY
Other
Enumeration date
02/05/2018
Last updated
09/28/2021
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