Bloom, Patricia
Bloom, Patricia is an individual health care provider with primary practice located at 1440 Madison Ave , New York NY 10029-6508. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Bloom, Patricia can be contacted via phone (212) 241-5561.Contact Information
Primary practice address
1440 Madison Ave
New York NY 10029-6508
Phone: (212) 241-5561
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 1283351 | New York |
Profile Details
| NPI number | 1699741074 |
|---|---|
| LBN Legal business name | Bloom, Patricia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Apr 24th, 2012 - about 12 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 | 1699741074 | NPPES |
| New York | MEDICAID | 00345868 |
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