Organization
BLOOM PSYCHOTHERAPY NYC LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANUPAMA KALYANAM LCSW (SOLE OWNER/ PRESIDENT)
(917) 830-6035
Entity
Organization
Contact information
Practice address
19 W 34TH ST PH, NEW YORK, NY 10001-3006
(917) 830-6035
Mailing address
125 OCEAN AVE APT 5H, BROOKLYN, NY 11225-4724
(917) 626-3847
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/15/2017
Last updated
05/15/2017
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