Bloom, Enid Denise

Bloom, Enid Denise is an individual health care provider with primary practice located at 179Th Street And Linden Blvd , St. Albans NY 11425. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Education, which is considered as her primary health care specialty. Bloom, Enid Denise can be contacted via phone (718) 526-1000.

Contact Information

Primary practice address
179Th Street And Linden Blvd St. Albans NY 11425
Phone: (718) 526-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X 001217 New York

Profile Details

NPI number 1376585570
LBN Legal business name Bloom, Enid Denise
Credentials MS RD CDN
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jul 8th, 2007 - about 19 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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