Individual
MS. CHERYL BLUMENFRUCHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
110 MAIN AVE, PASSAIC, NJ 07055-4427
(973) 777-7638
(973) 777-9311
Mailing address
110 MAIN AVE, PASSAIC, NJ 07055-4427
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403446
NY
Other
Enumeration date
05/04/2021
Last updated
06/28/2024
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