DR. SUSAN S. BLUM (NPI# 1790983070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790983070 |
Entity Type | Individual |
Full Name | DR. SUSAN S. BLUM |
Credential | M.D. |
Practice Address |
34 Rye Ridge Plz Rye Brook NY 10573-2820 |
Practice Telephone | 9146527800 |
Practice Fax Number | 9146527795 |
Mailing Telephone | 9146527800 |
Mailing Fax Number | 9146527795 |
Enumeration Date | 2007-07-06 |
Last Update Date | 2014-02-26 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
177780 | NY | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760680680 | Susan M Blum | Physical Therapist | 140 Azalea Dr, Windsor, PA 17366-8518 | 2007-07-03 |
1033279062 | Susan Lee Blum | Social Worker | 345 7th Ave, Suite 1601, New York, NY 10001-5006 | 2006-12-11 |
1326075938 | Susan Blum | Psychologist | 11215 Oak Leaf Dr, Suite 109, Silver Spring, MD 20901-1317 | 2006-06-27 |
Street Address |
34 RYE RIDGE PLZ |
City | RYE BROOK |
State | NY |
Zip Code | 10573-2820 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023627288 | Nikkita Jackson | Registered Nurse | 454 Westchester Avenue, Port Chester, NY 10573 | 2020-07-23 |
1568091676 | Jessica Michelle Cabrera-guzhnay | Counselor | One Gateway Plaza St.3b, Port Chester, NY 10573 | 2020-04-02 |
1275036436 | Vernon Z Harris | Massage Therapist | Rye Brook Physical Medicine and Rehabilitation PC, 14 Rye Ridge Plaza Suite 238, Rye Brook, NY 10573 | 2018-03-14 |
1750825303 | Christopher Petrowski | Contractor | 310 Locust Avenue, Port Chester, NY 10573 | 2016-12-15 |
1457808974 | Rye Ridge Pharmacy Inc | Pharmacy | 146 S. Ridge Street, Rye Brook, NY 10573 | 2016-09-01 |
1841646270 | Jill Brookman | Specialist | 124 Country Ridge Drive, Rye Brook, NY 10573 | 2016-05-04 |
1396128963 | Madhulika Priya Advani | Dentist | 118 South Ridge St, Suite 5, Rye Brook, NY 10573 | 2015-07-01 |
1407254063 | Mirzana Calhoun | Licensed Practical Nurse | 411 Westchester Ave 1-c, Port Chester, NY 10573 | 2014-12-15 |
1053734038 | Marvin Israel Matz | Otolaryngology | 60 Doral Greens Drive West, Rye Brook, NY 10573 | 2014-01-28 |
1932520392 | Beth Woodtli | Counselor | 12 Jean Lane, Rye Brook, NY 10573 | 2014-01-02 |
Find all providers in zip 10573 |
Taxonomy Code | 2083P0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Preventive Medicine/Occupational Environmental Medicine |
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700343993 | Steven Bernard Markowitz | Preventive Medicine | Queens College - 65-30 Kissena Blvd, Commoner Center- Remsen 311, Queens, NY 11367 | 2019-02-25 |
1659876092 | Healthstat Onsite Hbo Hauppauge | Preventive Medicine | 300 New Hwy, Hauppauge, NY 11788-2017 | 2018-03-28 |
1740785187 | Healthstat Onsite Hbo Ny | Preventive Medicine | 1100 Avenue of The Americas, New York, NY 10036-6712 | 2018-03-28 |
1033622857 | Russell Karp Md Functional Medicine Pllc | Preventive Medicine | 23 Croft Rd, Poughkeepsie, NY 12603-4917 | 2017-11-15 |
1730626748 | Selftest Inc. | Preventive Medicine | 18 Beach Ave, Northport, NY 11768-2803 | 2017-01-28 |
1962842336 | David Pratt | Preventive Medicine | 999 Grooms Rd, Rexford, NY 12148-1306 | 2013-07-01 |
1760723969 | Healthstat On-site Clinic/farm Family | Preventive Medicine | 344 Route 9w, Glenmont, NY 12077-2910 | 2013-03-13 |
1508124553 | Faculty Practice Associates Mount Sinai School of Medicine | Preventive Medicine | 345 E 102nd St Suite 215, New York, NY 10029-5611 | 2012-04-27 |
1134378896 | Susan M. Daum | Preventive Medicine | 16 E 96th St, 5a, New York, NY 10128-0753 | 2008-09-17 |
1851551519 | Isadora Guggenheim | Preventive Medicine | 8 Rockland Place, Nyack, NY 10960 | 2008-06-16 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.