| Bloom New York | |
|
185 E 85th St Apt 36b New York NY 10028-2191 | |
| (917) 690-1146 | |
| Not Available |
| Full Name | Bloom New York |
|---|---|
| Speciality | Behavior Analyst |
| Location | 185 E 85th St Apt 36b, New York, New York |
| Authorized Official Name and Position | Jennifer Pringle (CO-OWNER) |
| Authorized Official Contact | 9176901146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom New York 185 E 85th St Apt 36b New York NY 10028-2191 Ph: () - | Bloom New York 185 E 85th St Apt 36b New York NY 10028-2191 Ph: (917) 690-1146 |
| NPI Number | 1831594589 |
|---|---|
| Provider Enumeration Date | 10/23/2014 |
| Last Update Date | 10/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831594589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 174H00000X | Health Educator | (* (Not Available)) | Secondary |
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