Blum, Lawrence Roy
Blum, Lawrence Roy is an individual health care provider with primary practice located at 572 Park Avenue , New York NY 10021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Blum, Lawrence Roy can be contacted via phone (212) 751-8374.Contact Information
Primary practice address
572 Park Avenue
New York NY 10021
Phone: (212) 751-8374
Fax: (212) 751-8379
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 188611 | New York |
Profile Details
| NPI number | 1811082571 |
|---|---|
| LBN Legal business name | Blum, Lawrence Roy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Jul 23rd, 2008 - 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 | 1811082571 | NPPES |
| New York | MEDICAID | 01500678 |
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