Individual
DEVORA BLUMING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1158 45TH ST LOWR LEVEL, BROOKLYN, NY 11219-2059
(718) 480-5566
Mailing address
349 CROWN ST APT 3G, BROOKLYN, NY 11225-3014
(917) 587-9296
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
1962760678
NY
252Y00000X
Early Intervention Provider Agency
Primary
45-4913755
NY
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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