Organization
BLOOM MIND INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LARYSA TSELOVANSKA MSED (PRESIDENT)
(917) 405-7242
Entity
Organization
Contact information
Practice address
1864 85TH ST APT 6C, BROOKLYN, NY 11214-3125
(917) 405-7242
Mailing address
1864 85TH ST APT 6C, BROOKLYN, NY 11214-3125
(917) 405-7242
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/07/2025
Last updated
03/11/2025
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