Organization
MIND BLOOM PSYCHIATRY HEALTH WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAANVI KUMAR (OWNER)
(516) 754-7969
Entity
Organization
Contact information
Practice address
70 E SUNRISE HWY STE 500, VALLEY STREAM, NY 11581-1233
(516) 531-3519
Mailing address
70 E SUNRISE HWY STE 500, VALLEY STREAM, NY 11581-1233
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548658545
NPI
—
Enumeration date
04/07/2025
Last updated
04/07/2025
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