IndividualActive
Laurence Blumberg, M.D.
NPI 1093945404 · Physician Nutrition Specialist (Family Medicine) · New York, NY
Provider details
- NPI number
- 1093945404
- Entity type
- Individual
- Primary specialty
- Physician Nutrition Specialist (Family Medicine)Allopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 268161 (NY)
Mailing address
27 W 86th St # 14a
New York, NY 10024-3615
Registry dates
- Enumerated
- 2009-07-20
- Last updated
- 2025-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.