Organization
BLUM'S CORSET SHOP OF PATCHOGUE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABIE SIEGEL (CFO)
(631) 475-0136
Entity
Organization
Contact information
Practice address
27 E MAIN ST, PATCHOGUE, NY 11772-3101
(631) 475-1036
(631) 475-1734
Mailing address
27 E MAIN ST, PATCHOGUE, NY 11772-3101
(631) 475-1036
(631) 475-1734
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/23/2006
Last updated
08/22/2020
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