Individual
MISS TAYLOR LEIGH BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(917) 593-1254
Mailing address
85 E 10TH ST APT F, NEW YORK, NY 10003-5408
(917) 593-1254
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
350415
NY
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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