| Mitchell J. Bloom, D.M.D., P.C. | |
|
880 5th Ave Suite 1-g New York NY 10021-4951 | |
| (212) 327-2623 | |
| Not Available |
| Full Name | Mitchell J. Bloom, D.M.D., P.C. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 880 5th Ave, New York, New York |
| Authorized Official Name and Position | Mitchell J. Bloom (PRESIDENT) |
| Authorized Official Contact | 2123273623 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell J. Bloom, D.M.D., P.C. 880 5th Ave Suite 1-g New York NY 10021-4951 Ph: (212) 327-2623 | Mitchell J. Bloom, D.M.D., P.C. 880 5th Ave Suite 1-g New York NY 10021-4951 Ph: (212) 327-2623 |
| NPI Number | 1366513194 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 07/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366513194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 045016 (New York) | Primary |
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