Bloom, Michelle Emily

Bloom, Michelle Emily is an sole proprietor health care provider with primary practice located at 212 Jericho Tpke , Mineola NY 11501-1613. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology. Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology is her primary health care specialty. Bloom, Michelle Emily can be contacted via phone (516) 663-4480.

Contact Information

Primary practice address
212 Jericho Tpke Mineola NY 11501-1613
Phone: (516) 663-4480
Fax: (516) 663-6947
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 232791 New York
Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology 207RA0001X 232791 New York

Profile Details

NPI number 1952569873
LBN Legal business name Bloom, Michelle Emily
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 28th, 2008
Last updated Feb 29th, 2024 - about 10 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952569873 NPPES
New York Other 232791 MEDICAL LICENSE NUMBER 232791

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