Provider Demographics
NPI:1366656886
Name:BLUMAN, ANTON (MSCCCSLP)
Entity Type:Individual
Prefix:MR
First Name:ANTON
Middle Name:
Last Name:BLUMAN
Suffix:
Gender:M
Credentials:MSCCCSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 S WASHINGTON ST
Mailing Address - Street 2:APT 2W
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-3925
Mailing Address - Country:US
Mailing Address - Phone:914-524-0710
Mailing Address - Fax:914-524-0713
Practice Address - Street 1:61 S WASHINGTON ST
Practice Address - Street 2:APT 2W
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-3925
Practice Address - Country:US
Practice Address - Phone:914-524-0710
Practice Address - Fax:914-524-0713
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009838235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist