Individual
GREGORY BLOOMFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2795 RICHMOND AVE, STATEN ISLAND, NY 10314-5866
(917) 334-3397
Mailing address
2795 RICHMOND AVE., STATEN ISLAND, NY 10314-5866
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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