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1194092759
GREGORY BLOOMFIELD
STATEN ISLAND, NY
NPI
1194092759
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-11-28
Last Update Date
2011-11-28
Business Address
-- GREGORY BLOOMFIELD
2795 RICHMOND AVE
STATEN ISLAND, NY 10314-5866
Phone number: 917-334-3397
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Mailing Address
-- GREGORY BLOOMFIELD
2795 RICHMOND AVE.
STATEN ISLAND, NY 10314-5866
Phone number:
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