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Organization
SCOTT BLOOM MD PC
Active
Organization
SCOTT BLOOM MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT BLOOM (PRES)
(516) 338-2900
Entity
Organization
Contact information
Practice address
99 JERICHO TPKE, SUITE 206, JERICHO, NY 11753-1073
(516) 338-2900
(516) 338-2901
Mailing address
380 N BROADWAY STE 307, JERICHO, NY 11753-2109
(516) 835-4092
(516) 338-2901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
162996
NY
Other
Enumeration date
10/12/2006
Last updated
05/29/2023
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