Organization
ZACHARY T. BLOOMGARDEN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHARY T BLOOMGARDEN MD (PHYSICIAN)
(212) 879-5933
Entity
Organization
Contact information
Practice address
35 EAST 85TH STREET, NEW YORK, NY 10028-0954
(212) 879-5933
(212) 861-7429
Mailing address
35 EAST 85TH STREET, NEW YORK, NY 10028-0954
(212) 879-5933
(212) 861-7429
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
000529-1
NY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
125739
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00235089
—
NY
05
—
00411050
—
NY
Enumeration date
04/06/2010
Last updated
04/12/2010
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