Search › New York › 207N00000X
Kenneth Bloom, M.D
NPI 1477536068 · on the registry since 2005
Practice
- Address
- 1455 West Ave
Bronx, NY 10462 - Phone
- (718) 239-1500
- Fax
- (212) 765-3210
- Organisation at this address
- Advanced Dermatology Of New York, P.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 2432 Grand Concourse Rm 501, Bronx, NY
- 291 E 149th St, Bronx, NY
- 2100 Bartow Ave Ste 211, Bronx, NY
Registry record
- Primary taxonomy
- 207N00000X
207N00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-08-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York