MEDICARE: DR. CURTIS DREW BLUMENTHAL D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NX0100X	Occupational Health Chiropractor	05225	NY

General Provider Information

NPI Number	:	1669551537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CURTIS DREW BLUMENTHAL D.C.

Provider Business Mailing Address
First Line	:	6 OLD NORTH PLANK RD
Second Line	:
City	:	NEWBURGH
State	:	NY
Zip	:	12550-1722
Country	:	US
Telephone Number	:	845-565-0288
Fax Number	:	845-565-0319

Provider Business Practice Location Address
First Line	:	6 OLD NORTH PLANK RD
Second Line	:
City	:	NEWBURGH
State	:	NY
Zip	:	12550-1722
Country	:	US
Telephone Number	:	845-565-0288
Fax Number	:	845-565-0319

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	07/08/2007

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