DR. Fred Blum I, D.C.

NPI #1730368895 in Port Washington, New York

Provider Information

NPI Number: 1730368895
Entity Type: Individual
Name: DR. Fred Blum I, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Oct 25, 2007
Last Updated: Oct 25, 2007

Practice Location

Address: 153 MAIN ST
City: Port Washington
State: New York
ZIP Code: 11050-3239
Phone: (516) 883-9355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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