Provider Demographics
NPI:1295923837
Name:BLUM, LESLIE FRANCES (MD)
Entity type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:FRANCES
Last Name:BLUM
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:32 CHESTNUT RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:ARMONK
Mailing Address - State:NY
Mailing Address - Zip Code:10504-3001
Mailing Address - Country:US
Mailing Address - Phone:914-273-1268
Mailing Address - Fax:914-273-5593
Practice Address - Street 1:557 BROADWAY
Practice Address - Street 2:SCHOLASTIC WELLNESS CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-3962
Practice Address - Country:US
Practice Address - Phone:212-343-4920
Practice Address - Fax:212-343-4939
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-09
Last Update Date:2013-06-14
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Provider Licenses
StateLicense IDTaxonomies
NY183548207R00000X
CT034710207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine