Individual
DR. ADAM HARRY BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 EAST JERICHO TURNPIKE, HUNTINGTON, NY 11743
(631) 462-2020
(631) 462-2227
Mailing address
825 E GATE BLVD STE 111, GARDEN CITY, NY 11530-2124
(516) 804-5200
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
214394
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214394
STATE LICENSE NUMBER
NY
Enumeration date
10/03/2006
Last updated
03/07/2023
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