Bloomfield, Susan G
Bloomfield, Susan G is an sole proprietor health care provider with primary practice located at 6729 Myrtle Ave , Glendale NY 11385-7063. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bloomfield, Susan G can be contacted via phone (718) 456-7001.Contact Information
Primary practice address
6729 Myrtle Ave
Glendale NY 11385-7063
Phone: (718) 456-7001
Fax: (718) 456-9470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R024578 | New York |
Profile Details
| NPI number | 1871503698 |
|---|---|
| LBN Legal business name | Bloomfield, Susan G |
| Credentials | LCSW-R |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871503698 | NPPES |
| New York | MEDICAID | 00244624 |
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