Mrs Beth Heather Bloom, RD | |
15 N Pine St, Massapequa, NY 11758-2455 | |
(516) 804-6191 | |
Not Available |
Full Name | Mrs Beth Heather Bloom |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 15 N Pine St, Massapequa, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740240068 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 865058 (New York) | Primary |
Mailing Address | Practice Location Address |
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Mrs Beth Heather Bloom, RD 15 N Pine St, Massapequa, NY 11758-2455 Ph: (516) 804-6191 | Mrs Beth Heather Bloom, RD 15 N Pine St, Massapequa, NY 11758-2455 Ph: (516) 804-6191 |
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