Individual
MRS. PAIGE CATHERINE WORDEN BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642
(585) 275-5830
(585) 273-1051
Mailing address
601 ELMWOOD AVE BOX 704, ROCHESTER, NY 14642-0001
(585) 275-5823
(585) 273-1051
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
431312
NY
363LA2100X
Acute Care Nurse Practitioner
431312
NY
Other
Enumeration date
06/18/2018
Last updated
06/20/2018
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