MATTHEW IRA BLOOM

NEW YORK, NY
NPI1255466843
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  031778)
Enumeration Date2007-02-22
Last Update Date2007-07-08
Business Address
Dr. MATTHEW IRA BLOOM D.D.S.
123 WAVERLY PL 1B
NEW YORK, NY 10011-9147
Phone number: 212-460-0955
Mailing Address
Dr. MATTHEW IRA BLOOM D.D.S.
123 WAVERLY PL 1B
NEW YORK, NY 10011-9147
Phone number: 212-460-0955