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Contact Information

ZACHARY T BLOOMGARDEN, MD
35 E 85TH ST
NEW YORK, NY10028-0954
 Phone: 212-879-5933
 Fax: 212-861-7429
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for ZACHARY T BLOOMGARDEN · (Male)

NPI # 1700892635
Status Active
Credentials MD
Entity Individual
Enumeration date 07/31/2006
Last updated 10/04/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 125739
  • NY Medicaid 00235089
  • NY Other 125739 NY STATE LICENSE NUMBER
Hospital affiliation(s)
  • 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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