Organization
BLOOM AHEAD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVY BLOOM MSED (SPECIAL EDUCATOR)
(516) 375-7533
Entity
Organization
Contact information
Practice address
385 PEARSALL AVE, CEDARHURST, NY 11516-1800
(516) 371-1818
Mailing address
385 PEARSALL AVE, CEDARHURST, NY 11516-1800
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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