David L Bloch in Middletown - Addiction (substance Use Disorder)

David L Bloch - NPI 1417028564

David L Bloch is a Addiction (substance Use Disorder) in Middletown, New York. David L Bloch practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for David L Bloch is 1417028564. The last update date is 2007-07-08.

David L Bloch's current location address is 52 Grand Ave, Middletown, New York. You can contact this provider via phone number 8453431685 and fax number 8453431685. The mailing address for David L Bloch is 52 Grand Ave, Middletown, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name David L Bloch
Address 52 Grand Ave, Middletown, New York
Phone Number 8453431685
Fax Number 8453431685
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1417028564
Provider Enumeration Date 2006-11-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 52 Grand Ave
City Middletown
State New York (NY)
Post Code 109403925
Phone Number 8453431685
Fax Number 8453431685

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 103Ta0400X
Licence No NY010546
Definition:
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., ga

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
110487 NY MAGELLAN
1050590 NY AFFINITY
V72041 NY BLUE CROSS BLUE SHIELD
15355 NY GHI
135316 NY VALUE OPTIONS

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FAQs about David L Bloch

What is the unique provider identifier assigned to David L Bloch?

The David L Bloch has been issued the NPI (National Provider Identifier) 1417028564 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where David L Bloch is geographically located?

The David L Bloch is physically situated at the following location: 52 Grand Ave, Middletown, NY, 109403925.

What is the David L Bloch's specialty and taxonomy code?

The David L Bloch's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 103Ta0400X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1417028564 to David L Bloch?

The Centers for Medicare & Medicaid Services originally issued the 1417028564 to David L Bloch on 2006-11-12.

When was the information regarding David L Bloch most recently updated?

The details pertaining to the David L Bloch, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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