SearchNew York104100000X

Michelle Blum

NPI 1992055529 · on the registry since 2012 · sole proprietor

Practice

Address
156 Lake Pointe Ct
Middle Island, NY 11953
Phone
(631) 921-3505

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-09-11

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