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NPI Code Detail

MEDICARE: DR. ALLISON BLOOM MD

MEDICARE: DR. ALLISON BLOOM MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician212541NY

General Provider Information

NPI Number : 1871621409
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALLISON BLOOM MD
Provider Business Mailing Address
First Line : 6735 112TH ST
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-2349
Country : US
Telephone Number : 718-263-0740
Fax Number :
Provider Business Practice Location Address
First Line : 6735 112TH ST
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-2349
Country : US
Telephone Number : 718-263-0740
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2007
Last Update Date : 11/24/2024

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Directions to “ DR. ALLISON BLOOM MD” Practice Location

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