Individual
DR. FRED BLUM I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
153 MAIN ST, PORT WASHINGTON, NY 11050-3239
(516) 883-9355
(516) 883-9356
Mailing address
153 MAIN ST., PORT WASHINGTON, NY 11050-3239
(516) 883-9355
(516) 883-9356
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X01155-1
NY
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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