Individual
DR. WAYNE BRIAN BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2050 SAW MILL RIVER RD, YORKTOWN HEIGHTS, NY 10598-4108
(914) 245-7888
(914) 245-7909
Mailing address
2050 SAW MILL RIVER RD, YORKTOWN HEIGHTS, NY 10598-4108
(914) 245-7888
(914) 245-7909
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
N-004707
NY
213ES0131X
Foot Surgery Podiatrist
Primary
N-004707
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480013301
MEDICARE RAILROAD
NY
01
—
480015388
MEDICARE RAILROAD
NY
Enumeration date
06/29/2005
Last updated
02/07/2014
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