Blumenthal, Jesse Arthur

Blumenthal, Jesse Arthur is an sole proprietor health care provider with primary practice located at 170 W 12Th St Cronin 811, New York NY 10011-8202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Blumenthal, Jesse Arthur can be contacted via phone (212) 337-0600.

Contact Information

Primary practice address
170 W 12Th St Cronin 811 New York NY 10011-8202
Fax: (212) 604-2876
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 087016 New York

Profile Details

NPI number 1700949146
LBN Legal business name Blumenthal, Jesse Arthur
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2006
Last updated Feb 20th, 2014 - about 11 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 1700949146 NPPES
New York MEDICAID 00135988

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