Beth Heather Bloom in Massapequa - Dietitian, Registered

Beth Heather Bloom - NPI 1740240068

Beth Heather Bloom is a Dietitian, Registered in Massapequa, New York. Beth Heather Bloom practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Beth Heather Bloom is 1740240068. The last update date is 2007-07-08.

Beth Heather Bloom's current location address is 15 N Pine St, Massapequa, New York. You can contact this provider via phone number 5168046191. The mailing address for Beth Heather Bloom is 15 N Pine St, Massapequa, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Beth Heather Bloom
Address 15 N Pine St, Massapequa, New York
Phone Number 5168046191
Fax Number
Sole Proprietor X
Credentials R.D.

NPI Number Detail

NPI Number 1740240068
Provider Enumeration Date 2006-03-23
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 15 N Pine St
City Massapequa
State New York (NY)
Post Code 117582455
Phone Number 5168046191
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No 865058
Definition:
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of

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FAQs about Beth Heather Bloom

What is the Beth Heather Bloom's unique identification number?

The Beth Heather Bloom has been assigned the NPI (National Provider Identifier) Number 1740240068 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Beth Heather Bloom is geographically located?

The Beth Heather Bloom is physically situated at the following location: 15 N Pine St, Massapequa, NY, 117582455.

What is Beth Heather Bloom's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Beth Heather Bloom is Dietitian, Registered, and the corresponding taxonomy classification code for this specialized field is 133V00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1740240068 to Beth Heather Bloom?

The Centers for Medicare & Medicaid Services assigned the 1740240068 to Beth Heather Bloom on 2006-03-23.

When was the information pertaining to Beth Heather Bloom most recently updated or revised?

The details related to Beth Heather Bloom, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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