Blum, Isaac

Blum, Isaac is an individual health care provider with primary practice located at 900 Intervale Ave , Bronx NY 10459-4240. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Blum, Isaac can be contacted via phone (917) 645-9200.

Contact Information

Primary practice address
900 Intervale Ave Bronx NY 10459-4240
Phone: (917) 645-9200
Fax: (718) 589-7010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 111159 New York
Allopathic & Osteopathic Physicians / General Practice 208D00000X 111159 New York
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 111159 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 111159 New York

Profile Details

NPI number 1326029570
LBN Legal business name Blum, Isaac
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Oct 18th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326029570 NPPES
New York MEDICAID 00696240

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