SCOTT BLOOM
Family Medicine
Active
Individual
NPI: 1457432171
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 162996 (NY) |
Frequently Asked Questions
NPI 1457432171 is the National Provider Identifier for SCOTT BLOOM, a Family Medicine provider located in Jericho, NY. This NPI was enumerated on October 18, 2006.
SCOTT BLOOM practices at 380 N BROADWAY STE 307, Jericho, NY 11753.
Quick Facts
- NPI
- 1457432171
- Type
- Individual
- Enumerated
- Oct 18, 2006
- Last Updated
- May 29, 2023
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