Doctor Name: | DR. JASON BLUM |
NPI Number: | 1558734087 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 755 New York Ave Suite 106 Huntington, NY - 117434240 |
Business Phone Number: | 6313517676 |
Business Fax Number: | 6313517667 |
Mailing Address: | 2142 Utopia Pkwy, WHITESTONE |
State: | NY |
Postal Code: | 113574142 |
Phone Number: | 7188196805 |
Fax Number: | 3478419109 |
NPI Enumeration Date: | 11/05/2015 |
NPI Last Update Date: | 11/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |