Organization
ABG BLOOM CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NINO TSITSAVA (PRESIDENT)
(347) 753-0473
Entity
Organization
Contact information
Practice address
402 BAY RIDGE PKWY APT 29, BROOKLYN, NY 11209-2709
(347) 753-0473
Mailing address
402 BAY RIDGE PKWY APT 29, BROOKLYN, NY 11209-2709
(347) 753-0473
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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