Individual
MR. ANDREW A BLUMENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
156 DOLSON AVE STE 11, MIDDLETOWN, NY 10940-6560
(914) 419-6136
Mailing address
139 SWANNEKIN RD, BLAUVELT, NY 10913-1637
(914) 419-6136
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
721297
NY
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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