Bloom, Thomas

Bloom, Thomas is an individual health care provider with primary practice located at 6254 97Th Pl Suite 2B, Rego Park NY 11374-1346. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bloom, Thomas can be contacted via phone (718) 595-1166.

Contact Information

Primary practice address
6254 97Th Pl Suite 2B Rego Park NY 11374-1346
Phone: (718) 595-1166
Fax: (718) 595-1167
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 167049 New York

Profile Details

NPI number 1164597290
LBN Legal business name Bloom, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2006
Last updated Mar 7th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164597290 NPPES
New York Other 4061374 AETNA US HEALTHCARE
New York Other 487Y22 AETNA US HEALTHCARE
New York Other 73546 AETNA US HEALTHCARE
New York Other 000083377007 AETNA US HEALTHCARE
New York Other 4C1906 AETNA US HEALTHCARE
New York Other 6628678003 AETNA US HEALTHCARE
New York Other DP093 AETNA US HEALTHCARE
New York Other 010167049NY01 AETNA US HEALTHCARE
New York Other 167049 AETNA US HEALTHCARE
New York MEDICAID 01824886 AETNA US HEALTHCARE
New York Other 000083377009 AETNA US HEALTHCARE
New York Other 010167049NY02 AETNA US HEALTHCARE
New York Other 2697963 AETNA US HEALTHCARE
New York Other 74747 AETNA US HEALTHCARE
New York Other 487Y21 AETNA US HEALTHCARE

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