Blume, Molly Elizabeth

Blume, Molly Elizabeth is an individual health care provider with primary practice located at 513 W Union St , Newark NY 14513-1365. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Blume, Molly Elizabeth can be contacted via phone (315) 573-7577.

Contact Information

Primary practice address
513 W Union St Newark NY 14513-1365
Phone: (315) 573-7577
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R220483 Maryland

Profile Details

NPI number 1518513399
LBN Legal business name Blume, Molly Elizabeth
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2019
Last updated Sep 22nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518513399 NPPES
New York MEDICAID 06634871

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