| NPI | 1104093442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY T BLOOMGARDEN Physician 212-879-5933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 125739) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 0005291) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 101019) | |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |