Organization · Type 2 NPI

Mitchell J. Bloom, D.m.d., P.c.

Dental Clinic/Center · New York, NY

NPI number 1366513194 Active

Practice location

880 5th Ave, Suite 1-G
New York, NY 10021-4951

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X045016 (NY)

Dental Clinic/Center: Definition to come...

7 other providers at this address

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About NPI 1366513194

Mitchell J. Bloom, D.m.d., P.c.'s National Provider Identifier is 1366513194, issued on Nov 13, 2006. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in New York, NY. The record was last updated on Jul 30, 2014.