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Contact Information

BETH H BLOOM, R.D.
15 N PINE ST
MASSAPEQUA, NY11758-2455
 Phone: 516-804-6191
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for BETH H BLOOM · (Female)

NPI Number 1740240068
Status Active
Credentials R.D.
Entity Individual
Enumeration date 03/23/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 865058
Hospital affiliation(s) Not Available
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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