Individual
MRS. BERNICE MOELLER-BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
59 MYRTLE STREET, SUITE 100, SARATOGA SPRINGS, NY 12866-1093
(518) 587-2400
(518) 581-0141
Mailing address
59 MYRTLE STREET, SUITE 100, SARATOGA SPRINGS, NY 12866-1093
(518) 587-2400
(518) 581-0141
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
F3600631
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350498
MVP
NY
Enumeration date
06/10/2005
Last updated
03/31/2016
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