Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. ENID DENISE BLOOM, MS RD CDN
ActiveNutrition, Education · ST. ALBANS, NY
Registration Details
- NPI Number
- 1376585570
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 12, 2006 (19.89871557486 yrs)
- Last Updated
- Jul 8, 2007
- License
-
001217 (NY)
Practice Information
- Address
-
179TH STREET AND LINDEN BLVDST. ALBANS, NY, 11425Browse NY providers · Browse ZIP 11425
- Phone
- 7185261000
- Primary Specialty
-
Nutrition, Education
133NN1002X
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.