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:
Health care specialties
| Specialty | Code | License # | 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 14 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 | 1326029570 | NPPES |
| New York | MEDICAID | 00696240 |
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