SearchNew York101Y00000X

Matthew Blum, LMSW

NPI 1932477494 · on the registry since 2011 · sole proprietor

Practice

Address
777 Seaview Ave
Building #2
Staten Island, NY 10305
Phone
(718) 351-5530
Fax
(718) 351-5639
Organisation at this address
South Beach Pc
State Of New York
Nys Office Of Mental Health
S I Behavioral Network, Inc
Nys Office Of Mental Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
451

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Also registered as
104100000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-12-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York