Blum, Debra
Blum, Debra is an individual health care provider with primary practice located at 10721 Queens Blvd Suite 3, Forest Hills NY 11375-4451. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Blum, Debra can be contacted via phone (718) 268-7400.Contact Information
Primary practice address
10721 Queens Blvd Suite 3
Forest Hills NY 11375-4451
Phone: (718) 268-7400
Fax: (718) 739-3769
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 037082-1 | New York |
Profile Details
| NPI number | 1629167325 |
|---|---|
| LBN Legal business name | Blum, Debra |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629167325 | NPPES |
| New York | MEDICAID | 00989437 |
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