KENNETH EDWARD BLOOM

BRONX, NY
NPI1477536068
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: NY  169466)
Enumeration Date2005-11-28
Last Update Date2019-08-22
Business Address
KENNETH EDWARD BLOOM M.D.
1455 WEST AVE
BRONX, NY 10462-7304
Phone number: 718-239-1500
Mailing Address
KENNETH EDWARD BLOOM M.D.
200 CENTRAL PARK S APT 107
NEW YORK, NY 10019-1449
Phone number: 212-262-2500