Bloom, Kelly

Bloom, Kelly is an individual health care provider with primary practice located at 727 Morris Park Ave , Bronx NY 10462-3653. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Bloom, Kelly can be contacted via phone (631) 519-0761.

Contact Information

Primary practice address
727 Morris Park Ave Bronx NY 10462-3653
Phone: (631) 519-0761
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X New York

Profile Details

NPI number 1033617295
LBN Legal business name Bloom, Kelly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2018
Last updated Jan 23rd, 2018 - about 7 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