Individual provider · NPI-1

Edna Blumstein, Ph.D.

Psychologist, Clinical · Lynbrook, NY

NPI number1528078664
StatusActive
Last updated in NPPESJul 10, 2007

Details

NPI
1528078664
Entity type
Individual (NPI-1)
Name
Edna Blumstein
Credential
Ph.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 9, 2006
Last updated
Jul 10, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical012331NYYes
103TH0004X Psychologist, Health012331NY

Practice location

50 Hempstead Ave
Suite I
Lynbrook, NY 11563-1614

Phone 516-996-6507

Mailing address

50 Hempstead Ave
Suite I
Lynbrook, NY 11563-1614

Phone 516-996-6507

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