Organization
BLOOM PRACTICE LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZAIRYS FELIZ (OWNER)
(646) 963-3004
Entity
Organization
Contact information
Practice address
73 MARKET ST STE 376, YONKERS, NY 10710-7619
(646) 963-3004
Mailing address
73 MARKET ST STE 376, YONKERS, NY 10710-7619
(646) 963-3004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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