Organization
SELFTEST INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD STEPHEN BLUME MD (PRESIDENT)
(631) 754-8576
Entity
Organization
Contact information
Practice address
18 BEACH AVE, NORTHPORT, NY 11768-2803
(631) 754-8576
Mailing address
18 BEACH AVE, NORTHPORT, NY 11768-2803
(631) 754-8576
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
168917
NY
Other
Enumeration date
01/28/2017
Last updated
01/28/2017
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