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Organization
BLOOM NEW YORK
Active
Organization
BLOOM NEW YORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PRINGLE MS ED (CO-OWNER)
(917) 690-1146
Entity
Organization
Contact information
Practice address
185 E 85TH ST APT 36B, NEW YORK, NY 10028-2191
(917) 690-1146
Mailing address
185 E 85TH ST APT 36B, NEW YORK, NY 10028-2191
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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