# BLOOM AHEAD, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427553783
- **Authorized official:** IVY BLOOM MSED (SPECIAL EDUCATOR)
- **Authorized official phone:** (516) 375-7533

## Contact information

- **Practice address:** 385 PEARSALL AVE, CEDARHURST, NY 11516-1800
- **Practice address phone:** (516) 371-1818
- **Mailing address:** 385 PEARSALL AVE, CEDARHURST, NY 11516-1800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/28/2018
- **Last updated:** 03/28/2018