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Ivy Bloom, MSED
Specialist in Oceanside, New York
NPI 1942562400

Ivy Bloom is a Specialist based in Oceanside, NY. Ivy Bloom practices in Oceanside, NY and has the professional credentials of MSED. The NPI Number for Ivy Bloom is 1942562400 and holds a License No. (New York).

The current practice location address for Ivy Bloom is 122 Jeffery Ln, Oceanside, NY and can be reached out via phone at 516-678-3728.

Location: 122 Jeffery Ln, Oceanside, NY, 11572-5936
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942562400
Provider Name
Ivy Bloom
Credential
MSED
Provider Entity Type
Individual
Gender
Female
Address
122 Jeffery Ln, Oceanside, NY, 11572-5936
Phone Number
516-678-3728
Fax Number
Provider Enumeration Date
06/11/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
122 Jeffery Ln
City
Oceanside
State
New York
Zip
11572-5936
Phone Number
516-678-3728
Fax Number
person
Provider Business Mailing Address Details
Address
122 Jeffery Ln
City
Oceanside
State
New York
Zip
11572-5936
Phone Number
516-678-3728
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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