Individual
DR. MICHELLE EMILY BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
212 JERICHO TPKE, MINEOLA, NY 11501-1613
(516) 663-4480
(516) 663-6947
Mailing address
14 WALL ST FL 9, NEW YORK, NY 10005-2178
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
232791
NY
207RC0000X
Cardiovascular Disease Physician
232791
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232791
MEDICAL LICENSE NUMBER 232791
NY
Enumeration date
05/28/2008
Last updated
05/11/2026
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