Bloom, Mitchell

Bloom, Mitchell is an sole proprietor health care provider with primary practice located at 880 5Th Ave Suite 1-G, New York NY 10021-4951. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Bloom, Mitchell can be contacted via phone (212) 327-2623.

Contact Information

Primary practice address
880 5Th Ave Suite 1-G New York NY 10021-4951
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 045016 New York

Profile Details

NPI number 1467853408
LBN Legal business name Bloom, Mitchell
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2014
Last updated Sep 9th, 2014 - about 10 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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