Bloom, Stacy
Bloom, Stacy is an individual health care provider with primary practice located at 600-11-4B Pine Hollow Road , East Norwich NY 11732. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bloom, Stacy can be contacted via phone (516) 922-6219.Contact Information
Primary practice address
600-11-4B Pine Hollow Road
East Norwich NY 11732
Phone: (516) 922-6219
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R0423991 | New York |
Profile Details
| NPI number | 1013120526 |
|---|---|
| LBN Legal business name | Bloom, Stacy |
| Credentials | R LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2007 |
| 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.
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