Individual
MR. PETER MARK BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
366 LAKE SHORE RD, PUTNAM VALLEY, NY 10579-1314
(914) 220-2710
Mailing address
366 LAKE SHORE RD, PUTNAM VALLEY, NY 10579-1314
(914) 220-2710
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
008016
NY
225700000X
Massage Therapist
Primary
011791
NY
Other
Enumeration date
05/16/2007
Last updated
09/11/2025
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