Blum's Corset Shop of Patchogue, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BLUM'S CORSET SHOP OF PATCHOGUE, INC.

Practice address

5110 Main St
Suite 103
Williamsville, NY 14221-5256

Phone

(716) 633-8999

Fax

(716) 633-5144

NPI assigned

May 14, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Marc Siegel

Title

President

Phone

(631) 475-0136

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720293335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 MAIN ST",
            "address_2": "SUITE 103",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215256",
            "telephone_number": "716-633-8999",
            "fax_number": "716-633-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 MAIN ST",
            "address_2": "SUITE 103",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215256",
            "telephone_number": "716-633-8999",
            "fax_number": "716-633-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUM'S CORSET SHOP OF PATCHOGUE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-475-0136",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.