Individual
DR. JANE W. BLOOMGARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
68 BROOKBY RD, SCARSDALE, NY 10583-4543
(914) 393-7029
Mailing address
68 BROOKBY RD, SCARSDALE, NY 10583-4543
(914) 393-7029
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
NYS006556-1
NY
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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