Provider Demographics
NPI:1548401763
Name:BLUMENKRANTZ, ESTHER M
Entity Type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:M
Last Name:BLUMENKRANTZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 GEFEN DR
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-3596
Mailing Address - Country:US
Mailing Address - Phone:732-363-7505
Mailing Address - Fax:732-363-2750
Practice Address - Street 1:30 GEFEN DR
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-3596
Practice Address - Country:US
Practice Address - Phone:732-363-7505
Practice Address - Fax:732-363-2750
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-18
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ31TD00356800156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician