Individual provider · Type 1 NPI
Kenneth Edward Bloom, MD
Dermatology Physician · Bronx, NY
Practice location
1455 West Ave
Bronx, NY 10462-7304
Fax (212) 765-3210
Mailing address
200 Central Park S Apt 107
New York, NY 10019-1449
Other practice locations
- 2100 Bartow Ave Ste 211, Bronx, NY 10475-4614 · (718) 671-1000
- 291 E 149th St, Bronx, NY 10451-5601 · (718) 671-1000
- 2432 Grand Concourse Rm 501, Bronx, NY 10458-5204 · (718) 537-5000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology Physician Primary | 207N00000X | 169466 (NY) |
Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…
3 other providers at this address
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About NPI 1477536068
Kenneth Edward Bloom, MD's National Provider Identifier is 1477536068, issued on Nov 28, 2005. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Bronx, NY. The record was last updated on Aug 22, 2019.