| NPI | 1366767014 |
|---|---|
| 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 | 133V00000X Dietitian, Registered (Licence: NY 000529-1) |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2010-04-12 |