Individual provider · Type 1 NPI

Tammy Bloom, FNP

Family Nurse Practitioner · Bayside, NY

NPI number 1740672229 Active

Practice location

4564 Francis Lewis Blvd Ste 202
Bayside, NY 11361-3085

Fax (631) 751-0506

Mailing address

1500 Route 112 Bldg 4
Port Jefferson Station, NY 11776-8055

Other practice locations

  • 157 E Woodside Ave, Patchogue, NY 11772-1423 · (631) 475-1900
  • 222 Station Plz N, Mineola, NY 11501 · (516) 663-2051

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF339372 (NY)

Family Nurse Practitioner: Definition to come...

5 other providers at this address

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About NPI 1740672229

Tammy Bloom, FNP's National Provider Identifier is 1740672229, issued on Feb 20, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bayside, NY. The record was last updated on Aug 2, 2021.