KENNETH BLOOM, M.D.

Dermatology

Active Individual
NPI: 1477536068

Practice Address

1455 WEST AVE
Bronx, NY 10462

Phone: (718) 239-1500

Specialties

Specialty Code Primary License
Dermatology 207N00000X Yes 169466 (NY)

Frequently Asked Questions

NPI 1477536068 is the National Provider Identifier for KENNETH BLOOM, M.D., a Dermatology provider located in Bronx, NY. This NPI was enumerated on November 28, 2005.
KENNETH BLOOM, M.D. practices at 1455 WEST AVE, Bronx, NY 10462.

Quick Facts

NPI
1477536068
Type
Individual
Enumerated
Nov 28, 2005
Last Updated
Aug 22, 2019

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