Moeller-Bloom, Bernice

Moeller-Bloom, Bernice is an individual health care provider with primary practice located at 59 Myrtle Street Suite 100, Saratoga Springs NY 12866-1093. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Moeller-Bloom, Bernice can be contacted via phone (518) 587-2400.

Contact Information

Primary practice address
59 Myrtle Street Suite 100 Saratoga Springs NY 12866-1093
Phone: (518) 587-2400
Fax: (518) 581-0141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X F3600631 New York

Profile Details

NPI number 1639173255
LBN Legal business name Moeller-Bloom, Bernice
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Mar 31st, 2016 - about 8 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 1639173255 NPPES
New York Other 350498 MVP

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