Blom, Andrea
Blom, Andrea is an individual health care provider with primary practice located at 876 Sunrise Hwy Ste 20 , Bay Shore NY 11706-5908. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Blom, Andrea can be contacted via phone (631) 848-3772.Contact Information
Primary practice address
876 Sunrise Hwy Ste 20
Bay Shore NY 11706-5908
Phone: (631) 848-3772
Fax: (631) 532-1566
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | 5104-1 | New York |
Profile Details
| NPI number | 1285133280 |
|---|---|
| LBN Legal business name | Blom, Andrea |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2018 |
| Last updated | Sep 28th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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