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Individual

DIANE E BLOOMFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
MMC - FAMILY CARE CENTER, 3444 KOSSUTH AVE. 1ST FL. RM B, BRONX, NY 10467
(718) 920-5873
Mailing address
890 W END AVE, APT. 15C, NEW YORK, NY 10025-3526
(718) 920-5873
(718) 652-4417

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
155749
NY

Other

Enumeration date
10/26/2006
Last updated
07/08/2007
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