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Individual

DR. NAOMI TERRY BLOOMFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
101 JORDAN RD, SUITE 200, TROY, NY 12180-8343
(518) 274-0476
(518) 274-0497
Mailing address
711 TROY SCHENECTADY RD, SUITE 203, LATHAM, NY 12110-2442
(518) 782-3700
(518) 782-3799

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
153263
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00040492101
UNIVERA
NY
01
000405423002
BLUE SHIELD
NY
01
0005179467
AETNA
NY
01
0015055
GHI
NY
05
00881594
NY
01
040426006473
FIDELIS
NY
01
10000175
CDPHP
NY
01
122774
WELLCARE
NY
01
141655014
EMPIRE PLAN
NY
01
160050364
RAILROAD MEDICARE
NY
01
16423
MVP
NY
01
29676
GHIHMO
NY
01
53G872
BLUE CROSS
NY
Enumeration date
05/03/2006
Last updated
08/16/2013
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