Individual
STEPHANIE ADA BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
317 E 34TH ST, SUITE 1002, NEW YORK, NY 10016-4974
(860) 920-2144
Mailing address
317 E 34TH ST, SUITE 1002, NEW YORK, NY 10016-4974
(860) 920-2144
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F430873-1
NY
Other
Enumeration date
10/04/2006
Last updated
12/04/2014
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