Individual
MS. PHYLLIS BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW, L.AC.
Contact information
Practice address
875 SIXTH AVENUE, SUITE #1108, NY, NY 10001
(212) 967-1393
(212) 967-5996
Mailing address
875 SIXTH AVENUE, SUITE #1108, NY, NY 10001
(212) 967-1393
(212) 967-5996
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
R0162401
NY
171100000X
Acupuncturist
Primary
203-1
NY
Other
Enumeration date
08/02/2006
Last updated
09/11/2025
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