Individual
RICHARD D BLOOMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 ORCHARD PARK RD, A103, WEST SENECA, NY 14224-2646
(716) 677-5500
(716) 677-5008
Mailing address
550 ORCHARD PARK RD STE A103, WEST SENECA, NY 14224-2654
(716) 677-5500
(716) 677-5008
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
241414
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00028422901
UNIVERA
—
01
—
000415467003
BC/BS
—
01
—
0192612
GHI PPO
—
05
—
02591862
—
NY
01
—
2115139
INDEPENDENT HEALTH
—
01
—
241414-2W
WORKERS COMPENSATION
—
01
—
P00475424
RRM
NY
Enumeration date
09/09/2005
Last updated
05/05/2026
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