Individual provider · Type 1 NPI
Fred Blum I, DC
Chiropractor · Port Washington, NY
NPI number
1730368895
Active
Practice location
153 Main St
Port Washington, NY 11050-3239
Fax (516) 883-9356
Mailing address
153 Main St.
Port Washington, NY 11050-3239
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | X01155-1 (NY) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1730368895
Fred Blum I, DC's National Provider Identifier is 1730368895, issued on Oct 25, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Port Washington, NY. The record was last updated on Oct 25, 2007.