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Contact Information

ELLA ROSENBLOOM, MD
625 BELLE TERRE RD
PORT JEFFERSON, NY11777-2316
 Phone: 631-686-2551
 Fax: 631-686-2552
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ELLA ROSENBLOOM · (Female)

NPI # 1811275548
Status Active
Credentials MD
Entity Individual
Enumeration date 07/29/2011
Last updated 09/26/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 262371
Hospital affiliation(s)
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
  • ST CHARLES HOSPITAL - (Acute Care)
    200 BELLE TERRE ROAD
    PORT JEFFERSON, NY 11777
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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