Bloom, Stanley

Bloom, Stanley is an sole proprietor health care provider with primary practice located at 138 Goodell Rd , Old Forge NY 13420. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bloom, Stanley can be contacted via phone (315) 369-2003.

Contact Information

Primary practice address
138 Goodell Rd Old Forge NY 13420
Phone: (315) 369-2003
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 099606-1 New York

Profile Details

NPI number 1003041377
LBN Legal business name Bloom, Stanley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2009
Last updated May 15th, 2009 - about 15 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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