Provider Demographics
NPI:1669551537
Name:BLUMENTHAL, CURTIS DREW (DC)
Entity type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:DREW
Last Name:BLUMENTHAL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 OLD NORTH PLANK RD
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-1722
Mailing Address - Country:US
Mailing Address - Phone:845-565-0288
Mailing Address - Fax:845-565-0319
Practice Address - Street 1:6 OLD NORTH PLANK RD
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-1722
Practice Address - Country:US
Practice Address - Phone:845-565-0288
Practice Address - Fax:845-565-0319
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY05225111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0100XChiropractic ProvidersChiropractorOccupational Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYT53109Medicare UPIN
NYX29001Medicare ID - Type Unspecified