- Practice location
- 875 Sixth Avenue, Suite #1108, Ny, NY 10001
- Phone
- 212-967-1393
- Fax
- 212-967-5996
- Last updated
- September 11, 2025
Phyllis Bloom is an Acupuncturist based in Ny, NY. Phyllis Bloom practices in Ny, NY and has the professional credentials of LSW, LAC. The NPI Number for Phyllis Bloom is 1750398640 and holds a License No. R0162401 (NY). The current practice location address for Phyllis Bloom is 875 Sixth Avenue, Suite #1108, Ny, NY 10001 and can be reached out via phone at 212-967-1393 and via fax at 212-967-5996.
Provider Profile Details
- NPI Number
- 1750398640
- Provider Name
- Phyllis Bloom
- Credential
- LSW, LAC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 875 Sixth Avenue, Suite #1108, Ny, NY 10001
- Phone Number
- 212-967-1393
- Fax Number
- 212-967-5996
- Primary Taxonomy
- Acupuncturist · 171100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 2, 2006
- Last Update Date
- September 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 875 Sixth Avenue
Suite #1108
Ny, NY 10001 - City
- Ny
- State
- New York
- Zip
- 10001
- Phone Number
- 212-967-1393
- Fax Number
- 212-967-5996
Provider Business Mailing Address Details
- Address
- 875 Sixth Avenue
Suite #1108
Ny, NY 10001 - City
- Ny
- State
- NY
- Zip
- 10001
- Phone Number
- 212-967-1393
- Fax Number
- 212-967-5996
License Information
- License Number (1)
- R0162401
- License State (1)
- NY
- Taxonomy (1)
- Social Worker · 104100000X
- License Number (2)
- 203-1
- License State (2)
- NY
- Taxonomy (2)
- Acupuncturist · 171100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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- Paulette Pettorino, LACAcupuncturist · NPI 1740498864
- Natasha Fradkin, LCSWSocial Worker, Clinical · NPI 1386538395
- Ms. Maria L Marioni, RPHPharmacist · NPI 1730159278
- Dr. Michael A Poles, MD, PHDInternal Medicine, Gastroenterology · NPI 1346280690
Frequently Asked Questions
What is the NPI number of Ms. Phyllis Bloom, LSW, LAC?
The NPI number of Ms. Phyllis Bloom, LSW, LAC is 1750398640. It was assigned on August 2, 2006 and is currently active in the NPPES registry.
What is the specialty of Ms. Phyllis Bloom, LSW, LAC?
Ms. Phyllis Bloom, LSW, LAC is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in NY under license number R0162401.
Where does Ms. Phyllis Bloom, LSW, LAC practice?
The practice location is 875 Sixth Avenue, Suite #1108, Ny, NY 10001. The office can be reached at 212-967-1393 (phone) or 212-967-5996 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1750398640 directly on the NPPES registry website.