Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STANLEY BLOOM, MD
Active Sole ProprietorSTANLEY BLOOM, MD is a Urology healthcare provider located in OLD FORGE, New York. NPI 1003041377 is currently active in the NPPES registry. Verify at CMS.
Urology · OLD FORGE, NY
Registration Details
- NPI Number
- 1003041377
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 15, 2009 (17.264626570453 yrs)
- Last Updated
- May 15, 2009
- License
-
099606-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
138 GOODELL RDOLD FORGE, NY, 13420Browse NY providers · Browse ZIP 13420
- Phone
- 3153692003
- Primary Specialty
-
Urology
208800000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.