Individual
CHANIE BLUMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
472 MALBONE ST, BROOKLYN, NY 11225-3200
(718) 778-1679
Mailing address
472 MALBONE ST, BROOKLYN, NY 11225-3200
(718) 778-1679
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
12/24/2012
Last updated
12/24/2012
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