Individual
ANNA BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8403 57TH AVE, ELMHURST, NY 11373-4833
(718) 899-9060
Mailing address
75 KENMARE ST APT 5D, NEW YORK, NY 10012-0306
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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