Individual
CRAIG BLENMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14 MANCHESTER BLVD, WHEATLEY HEIGHTS, NY 11798-1519
(631) 697-5268
Mailing address
14 MANCHESTER BLVD, WHEATLEY HEIGHTS, NY 11798-1519
(631) 697-5268
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04998707
—
NY
Enumeration date
04/18/2018
Last updated
04/18/2018
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