Individual
RONDA BLOOM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3003 NEW HYDE PARK RD, 201, NEW HYDE PARK, NY 11042-1214
(516) 327-0850
(516) 327-0920
Mailing address
3003 NEW HYDE PARK RD, 201, NEW HYDE PARK, NY 11042-1214
(516) 327-0850
(516) 327-0920
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
218242-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1069863
AETNA
—
01
—
1233S1
BLUE CROSS BLUE SHIELD
—
01
—
2399673
GHI
NY
01
—
2535845
UNITED HEALTHCARE
—
01
—
8524456
CIGNA
—
01
—
AA72967
MDNY
—
01
—
P3630031
OXFORD
—
Enumeration date
03/23/2006
Last updated
07/08/2007
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