Individual
ELIZABETH BLUME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
83 CROSS COUNTRY DR, BALDWINSVILLE, NY 13027-9826
(315) 436-1652
Mailing address
83 CROSS COUNTRY DR, BALDWINSVILLE, NY 13027-9826
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003520
NY
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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