Bloom, Adam Harry

Bloom, Adam Harry is an individual health care provider with primary practice located at 1700 East Jericho Turnpike , Huntington NY 11743. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Bloom, Adam Harry can be contacted via phone (631) 462-2020.

Contact Information

Primary practice address
1700 East Jericho Turnpike Huntington NY 11743
Fax: (631) 462-2227
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 214394 New York

Profile Details

NPI number 1740375047
LBN Legal business name Bloom, Adam Harry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740375047 NPPES
New York Other 214394 STATE LICENSE NUMBER

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