Individual
DR. AGNESS BLUMKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOCTOR OF OPTOMETRY
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T006198
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101473-05
AMERICHOICE
NY
05
—
02263683
—
NY
01
—
P3332179
OXFORD
NY
Enumeration date
10/05/2006
Last updated
07/08/2007
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