Bloom, Kenneth Edward
Bloom, Kenneth Edward is an individual health care provider with primary practice located at 1455 West Ave , Bronx NY 10462-7304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Bloom, Kenneth Edward can be contacted via phone (718) 239-1500.Contact Information
Primary practice address
1455 West Ave
Bronx NY 10462-7304
Phone: (718) 239-1500
Fax: (212) 765-3210
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 169466 | New York |
Profile Details
| NPI number | 1477536068 |
|---|---|
| LBN Legal business name | Bloom, Kenneth Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2005 |
| Last updated | Aug 22nd, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477536068 | NPPES |
| New York | MEDICAID | 04134401 |
Popular Providers
-
Dana, Ali Nicole
130 W Kingsbridge Rd , Bronx NY 10468-3904 -
Burk, Peter G
267A W 231St St , Bronx NY 10463-3903 -
Newman, Jessica Clark
130 W Kingsbridge Rd Va Medical Center, Bronx NY 10468-3904 -
Whang, Eugene J
3620 E Tremont Ave 2Nd Floor, Bronx NY 10465-2022 -
Oconnor, Kathleen
1578 Williamsbridge Rd , Bronx NY 10461 -
Neimann, Andrea Lee
111 E 210Th St Division Of Dermatology, Montefiore Medical Center, Bronx NY 10467-2401 -
Jakubowicz, Pamela J
1650 Selwyn Ave , Bronx NY 10457-7626 -
Gropper, Charles A
4487 3Rd Ave Fl 2 , Bronx NY 10457-1526