Bloomfield, Gregory

Bloomfield, Gregory is an individual health care provider with primary practice located at 2795 Richmond Ave , Staten Island NY 10314-5866. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Bloomfield, Gregory can be contacted via phone (917) 334-3397.

Contact Information

Primary practice address
2795 Richmond Ave Staten Island NY 10314-5866
Phone: (917) 334-3397
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1194092759
LBN Legal business name Bloomfield, Gregory
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2011
Last updated Nov 28th, 2011 - about 13 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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