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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IVY BLOOM, MSED

Active Sole Proprietor

IVY BLOOM, MSED is a Specialist healthcare provider located in OCEANSIDE, New York. NPI 1942562400 is currently active in the NPPES registry. Verify at CMS.

Specialist · OCEANSIDE, NY

Registration Details

NPI Number
1942562400
Provider Type
Individual
Gender
Female
NPI Issued
Jun 11, 2012 (14.181848469736 yrs)
Last Updated
Jun 11, 2012
Sole Proprietor
Yes

Practice Information

Address
122 JEFFERY LN
OCEANSIDE, NY, 115725936
Browse NY providers · Browse ZIP 11572
Phone
5166783728
Primary Specialty
Specialist
174400000X

Other Specialist Providers in OCEANSIDE, NY

Name Credential NPI
DR. MARK SILVERMAN M.D. 1780674184
DR. PAUL L SCHULSTER M.D. 1457324725
DR. RITA SCHULSTER M.D. 1588637862
DR. OVIDIU A. KRAUSZ MD 1144281973
MR. MICHAEL TYRAE PINCKNEY D.P.T. 1629084736
SYLVIA FONSECA P.T. 1194805192
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.