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Contact Information

DEENA BLOOM, AU.D
290 CENTRAL AVE STE 116
LAWRENCE, NY11559-8507
 Phone: 516-239-6400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Assistive Technology Supplier

231HA2500X
Indicates primary specialty

NPI Profile & details for DEENA BLOOM · (Female)

NPI # 1669222527
Status Active
Credentials AU.D
Entity Individual
Enumeration date 03/25/2024
Last updated 03/25/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 003244
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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