Individual provider · Type 1 NPI

Noah Lawrence Bloom

Counselor · Old Bethpage, NY

NPI number 1043124209 Active

Practice location

31 Voorhis Dr
Old Bethpage, NY 11804-1025

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1043124209

Noah Lawrence Bloom's National Provider Identifier is 1043124209, issued on Oct 2, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Old Bethpage, NY. The record was last updated on Oct 2, 2026.