Bloom, Wayne Brian

Bloom, Wayne Brian is an individual health care provider with primary practice located at 2050 Saw Mill River Rd , Yorktown Heights NY 10598-4108. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Bloom, Wayne Brian can be contacted via phone (914) 245-7888.

Contact Information

Primary practice address
2050 Saw Mill River Rd Yorktown Heights NY 10598-4108
Phone: (914) 245-7888
Fax: (914) 245-7909
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N-004707 New York
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X N-004707 New York

Profile Details

NPI number 1225035835
LBN Legal business name Bloom, Wayne Brian
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2005
Last updated Feb 7th, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225035835 NPPES
New York Other 480015388 MEDICARE RAILROAD
New York Other 480013301 MEDICARE RAILROAD

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