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Laurence Blumberg, M.D.

Family Medicine, Physician Nutrition Specialist in New York, NY. Individual provider (NPI-1).

NPI number1093945404
StatusActive
Last updated in NPPESDec 5, 2025

Details

NPI
1093945404
Entity type
Individual (NPI-1)
Name
Laurence Blumberg
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 20, 2009
Certification date
Dec 5, 2025
Last updated
Dec 5, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QP0002X Family Medicine, Physician Nutrition Specialist268161NYYes

Practice location

27 W 86th St
New York, NY 10024-3615

Phone 212-734-7405

Mailing address

27 W 86th St # 14a
New York, NY 10024-3615

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