Bloom, David

Bloom, David is an sole proprietor health care provider with primary practice located at 136 Beach 117Th St #513, Rockaway Park NY 11694-2079. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bloom, David can be contacted via phone (516) 603-4827.

Contact Information

Primary practice address
136 Beach 117Th St #513 Rockaway Park NY 11694-2079
Phone: (516) 603-4827
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 258003 New York

Profile Details

NPI number 1417261785
LBN Legal business name Bloom, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2010
Last updated Apr 14th, 2015 - about 9 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.

Request for update

Popular Providers