Provider Demographics
NPI:1467812974
Name:CLIFFORD BLUMSTEIN MD PC
Entity Type:Organization
Organization Name:CLIFFORD BLUMSTEIN MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CLIFF
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:BLUMSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-939-7799
Mailing Address - Street 1:4214 162ND ST
Mailing Address - Street 2:#1ST FL
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-4156
Mailing Address - Country:US
Mailing Address - Phone:718-939-7999
Mailing Address - Fax:718-939-7799
Practice Address - Street 1:4214 162ND ST
Practice Address - Street 2:#1ST FL
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358-4156
Practice Address - Country:US
Practice Address - Phone:718-939-7999
Practice Address - Fax:718-939-7799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-25
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty