TAMMY BLOOM

BAYSIDE, NY
NPI1740672229
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: NY  F339372)
Enumeration Date2015-02-20
Last Update Date2021-08-02
Business Address
TAMMY BLOOM FNP
4564 FRANCIS LEWIS BLVD STE 202
BAYSIDE, NY 11361-3085
Phone number: 631-751-3000
Mailing Address
TAMMY BLOOM FNP
1500 ROUTE 112 BLDG 4
PORT JEFFERSON STATION, NY 11776-8055
Phone number: 631-574-8354
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