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Individual

MRS. CARYN L BLUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
475 NORTHERN BLVD STE 11, GREAT NECK, NY 11021
(516) 829-0030
(516) 466-7723
Mailing address
475 NORTHERN BLVD STE 11, GREAT NECK, NY 11021-4802
(516) 829-0030
(516) 466-7723

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
016575L
NY

Other

Enumeration date
11/18/2005
Last updated
06/21/2018
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