Stanley Bloom, MD in Old Forge, NY

Stanley Bloom, MD - Urology in Old Forge, NY

Stanley Bloom, MD is a Urology physician based in Old Forge, New York. Stanley Bloom is licensed to practice in New York (license number 099606-1) and his current practice location is 138 Goodell Rd, Old Forge, New York. He can be reached at his office (for appointments etc.) via phone at (315) 369-2003.

NPI number for Stanley Bloom is 1003041377 and his current mailing address is 10760 North Green Dr, Lake Worth, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003041377.

Contact Information

	Stanley Bloom, MD
	138 Goodell Rd, Old Forge, NY 13420
	(315) 369-2003
	Not Available

Map and Direction

Physician's Profile

Full Name	Stanley Bloom
Gender	Male
Speciality	Urology
Location	138 Goodell Rd, Old Forge, New York
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1003041377
Provider Enumeration Date: 05/15/2009
Last Update Date: 05/15/2009

Medical Identifiers

Medical identifiers for Stanley Bloom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003041377	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	099606-1 (New York)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stanley Bloom is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Stanley Bloom, MD 10760 North Green Dr, Lake Worth, FL 33449 Ph: (561) 432-2020	Stanley Bloom, MD 138 Goodell Rd, Old Forge, NY 13420 Ph: (315) 369-2003