Bloom, Bradley Stephen
Bloom, Bradley Stephen is an individual health care provider with primary practice located at 1125 Park Ave , New York NY 10128-1243. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Bloom, Bradley Stephen can be contacted via phone (212) 876-3319.Contact Information
Primary practice address
1125 Park Ave
New York NY 10128-1243
Phone: (212) 876-3319
Fax: (212) 423-0840
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 25MA09583800 | New Jersey |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 262147 | New York |
Profile Details
| NPI number | 1780902585 |
|---|---|
| LBN Legal business name | Bloom, Bradley Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2010 |
| Last updated | Oct 13th, 2022 - about 2 years ago |
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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