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Individual

ALAN F. BLOOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
500 KREAG ROAD, PITTSFORD, NY 14534
(585) 249-8300
(585) 249-8380
Mailing address
500 KREAG ROAD, PITTSFORD, NY 14534
(585) 249-8300
(585) 249-8380

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
158788
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
180010335
MEDICARE
NY
Enumeration date
07/12/2006
Last updated
05/04/2021
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