Individual
TRACEY A BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 S. BEDFORD ROAD, CAREMOUNT MEDICAL PC, MT KISCO, NY 10549
(914) 241-1050
(914) 242-1516
Mailing address
1978 CROMPOND ROAD, CAREMOUNT MEDICAL PC, CORTLANDT MANOR, NY 10567
(914) 739-2121
(914) 242-1516
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
307567
NY
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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