Bloom, Phyllis

Bloom, Phyllis is an sole proprietor health care provider with primary practice located at 875 Sixth Avenue Suite #1108, Ny NY 10001. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Acupuncturist. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Bloom, Phyllis can be contacted via phone (212) 967-1393.

Contact Information

Primary practice address
875 Sixth Avenue Suite #1108 Ny NY 10001
Phone: (212) 967-1393
Fax: (212) 967-5996
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X R0162401 New York
Other Service Providers / Acupuncturist 171100000X 203-1 New York

Profile Details

NPI number 1750398640
LBN Legal business name Bloom, Phyllis
Credentials LSW, L.AC.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2006
Last updated Jul 8th, 2007 - about 17 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