Individual
DR. JEFFREY C BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
56 REYNOLDS DR, LIDO BEACH, NY 11561-4928
(516) 361-3364
(516) 889-0337
Mailing address
56 REYNOLDS DR, LIDO BEACH, NY 11561-4928
(516) 889-0337
(516) 889-0337
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004648
NY
Other
Enumeration date
11/01/2006
Last updated
07/17/2012
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