Bloom, Beth Heather

Bloom, Beth Heather is an individual health care provider with primary practice located at 15 N Pine St , Massapequa NY 11758-2455. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Bloom, Beth Heather can be contacted via phone (516) 804-6191.

Contact Information

Primary practice address
15 N Pine St Massapequa NY 11758-2455
Phone: (516) 804-6191
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 865058 New York

Profile Details

NPI number 1740240068
LBN Legal business name Bloom, Beth Heather
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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