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

DR. MICHELLE EMILY BLOOM, MD

Active Sole Proprietor

DR. MICHELLE EMILY BLOOM, MD is a Clinical Cardiac Electrophysiology healthcare provider located in MINEOLA, New York. NPI 1952569873 is currently active in the NPPES registry. Verify at CMS.

Clinical Cardiac Electrophysiology · MINEOLA, NY

Registration Details

NPI Number
1952569873
Provider Type
Individual
Gender
Female
NPI Issued
May 28, 2008 (18.030518180389 yrs)
Last Updated
Feb 29, 2024
Licenses
232791 (NY)
232791 (NY)
Sole Proprietor
Yes

Practice Information

Address
212 JERICHO TPKE
MINEOLA, NY, 115011613
Browse NY providers · Browse ZIP 11501
Phone
5166634480
Fax
5166636947
Primary Specialty
Clinical Cardiac Electrophysiology
207RA0001X
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.