Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. PETER MARK BLOOM, M.S.
Active Sole ProprietorMR. PETER MARK BLOOM, M.S. is a Massage Therapist healthcare provider located in PUTNAM VALLEY, New York. NPI 1780891200 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · PUTNAM VALLEY, NY
Registration Details
- NPI Number
- 1780891200
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 16, 2007 (19.261960760418 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
008016 (NY)011791 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
366 LAKE SHORE RDPUTNAM VALLEY, NY, 105791314Browse NY providers · Browse ZIP 10579
- Phone
- 9142202710
- Primary Specialty
-
Massage Therapist
225700000X
- Additional Specialty
- Massage Therapist
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.