Organization
LAWRENCE R. BLUM, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH VARELA (MEDICAL BILLER)
(212) 751-8374
Entity
Organization
Contact information
Practice address
572 PARK AVENUE, NEW YORK, NY 10065
(212) 751-8374
(212) 751-8379
Mailing address
572 PARK AVENUE, NEW YORK, NY 10065
(212) 751-8374
(212) 751-8379
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
188611
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01500678
—
NY
Enumeration date
09/13/2007
Last updated
10/22/2008
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