Individual provider · NPI-1

Andrew A Blumenthal, RN

Registered Nurse, General Practice · Middletown, NY

NPI number1316674153
StatusActive
Last updated in NPPESAug 2, 2022

Details

NPI
1316674153
Entity type
Individual (NPI-1)
Name
Mr. Andrew A Blumenthal
Credential
RN
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 2, 2022
Certification date
Aug 2, 2022
Last updated
Aug 2, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WG0000X Registered Nurse, General Practice721297NYYes

Practice location

156 Dolson Ave Ste 11
Middletown, NY 10940-6560

Phone 914-419-6136

Mailing address

139 Swannekin Rd
Blauvelt, NY 10913-1637

Phone 914-419-6136

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