Bloomfield, Dennis A
Bloomfield, Dennis A is an sole proprietor health care provider with primary practice located at 1102 Victory Blvd , Staten Island NY 10301-3622. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bloomfield, Dennis A can be contacted via phone (718) 442-5230.Contact Information
Primary practice address
1102 Victory Blvd
Staten Island NY 10301-3622
Phone: (718) 442-5230
Fax: (718) 816-4927
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 099669 | New York |
Profile Details
| NPI number | 1689667446 |
|---|---|
| LBN Legal business name | Bloomfield, Dennis A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Apr 16th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689667446 | NPPES |
| New York | Other | OS240 | OXFORD |
| New York | Other | 0057365 | OXFORD |
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