Individual
CLAIRE ELAINE BLOODWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
305 E 33RD ST, NEW YORK, NY 10016-9401
(855) 698-4232
Mailing address
305 E 33RD ST, NEW YORK, NY 10016-9401
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
02811
NY
363A00000X
Physician Assistant
Primary
028111
NY
Other
Enumeration date
03/05/2022
Last updated
07/21/2022
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