DR. HARRISON G BLOOM (NPI# 1619016516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619016516 |
| Entity Type | Individual |
| Full Name | DR. HARRISON G BLOOM |
| Credential | M.D. |
| Practice Address |
701 North Broadway Phelps Memorial Hospital Center, Senior Health Practice Sleepy Hollow NY 10591 |
| Mailing Address |
145 Euclid Ave Hastings On Hudson NY 10706-1100 |
| Practice Telephone | 9143663392 |
| Practice Fax Number | 9143661260 |
| Mailing Telephone | 9144785659 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
128334 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
701 NORTH BROADWAY PHELPS MEMORIAL HOSPITAL CENTER, SENIOR HEALTH PRACTICE |
| City | SLEEPY HOLLOW |
| State | NY |
| Zip Code | 10591 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780628602 | Martin Ansis Krumins | Emergency Medicine | 701 North Broadway, Phelps Memorial Hospital, Sleepy Hollow, NY 10591 | 2006-06-15 |
| 1629698428 | Hannah Slavin | Student in an Organized Health Care Education/Training Program | 701 North Broadway, Sleepy Hollow, NY 10591 | 2020-04-21 |
| 1750914651 | Hanyoung Chung | Student in an Organized Health Care Education/Training Program | 701 North Broadway, Sleepy Hollow, NY 10591 | 2020-02-19 |
| 1952861353 | Ruby Monichan | Student in an Organized Health Care Education/Training Program | 701 North Broadway, 755 Building, Suite 405, Sleepy Hollow, NY 10591 | 2019-03-21 |
| 1649632563 | Wpny Anesthesia, Pllc | Anesthesiology | 701 North Broadway, Sleepy Hollow, NY 10591 | 2016-03-22 |
| 1679754402 | Matthew Cullen | Anesthesiology | 701 North Broadway, Sleepy Hollow, NY 10591 | 2007-11-20 |
| 1023198678 | Avraham D Merav | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 701 North Broadway, Phelps Thoracic Center, Sleepy Hollow, NY 10591-1020 | 2006-10-17 |
| 1306946439 | Puja Agarwal | Physical Therapist | 701 North Broadway, Phelps Memorial, Sleepy Hollow, NY 10591 | 2006-09-25 |
| 1205851821 | Phelps Memorial Hospital Association | Emergency Medicine | 701 North Broadway, Phelps Memorial Hospital, Sleepy Hollow, NY 10591 | 2006-07-13 |
| 1285661132 | Jennie A Scalisi | Emergency Medicine | 701 North Broadway, Phelps Memorial Hospital, Sleepy Hollow, NY 10591 | 2006-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451661 | Viviana Martinez | Counselor | 81 Fairview Avenue, Second Floor, Tarrytown, NY 10591 | 2020-09-14 |
| 1730718834 | Johnny Truong | Student in an Organized Health Care Education/Training Program | Phelps Family Medicine Residency Program, 701 North Broadway, Sleepy Hollow, NY 10591 | 2020-04-02 |
| 1336707314 | Jeffrey Edward Dwulet | Student in an Organized Health Care Education/Training Program | Phelps Memorial Hospital, 701 North Broadway, Sleepy Hollow, NY 10591 | 2019-06-04 |
| 1881188738 | Broadway Cosmetic Dentistry, P.C. | Dentist | 128 South Broadway, Tarrytown, NY 10591 | 2018-06-14 |
| 1356883870 | Kathryn Kearns | Early Intervention Provider Agency | 12 Francis Street, Sleepy Hollow, NY 10591 | 2016-11-15 |
| 1467802058 | Bv Tarrytown Operator LLC | Alzheimer Center (Dementia Center) | 581 Old White Plains Road, Tarrytown, NY 10591 | 2016-06-15 |
| 1316309347 | Harbor Dental | Public Health or Welfare | 55 River Street, Mei Zhang, Dds, Sleepy Hollow, NY 10591 | 2016-03-29 |
| 1770948317 | Hyra Kamecaj Zucker | Counselor | 55 Stephen Drive, Tarrytown, NY 10591 | 2015-12-28 |
| 1396137428 | Jerry Diaz | Health Educator | 173 1/2 Cortlandt St, Sleepy Hollow, NY 10591 | 2015-02-26 |
| 1740670397 | Heather Katz | Internal Medicine | 777 N Broadway Ste 102, Sleepy Hollow, NY 10591 | 2015-02-03 |
| Find all providers in zip 10591 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841600905 | Amy Leigh Edelstein | Internal Medicine | 755 N Broadway Ste 100, Sleepy Hollow, NY 10591 | 2014-04-29 |
| 1790101764 | Syna Marie Kandarappallil | Internal Medicine | 755 N Broadway, Senior Health and Internal Medicine Suite 100, Sleepy Hollow, NY 10591-1075 | 2014-03-13 |
| 1801982772 | Tobe Elaine Banc | Internal Medicine | 755 North Broadway, Suite 100, Sleepy Hollow, NY 10591 | 2006-10-05 |
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| 1013518638 | Well Med Medical PC | Internal Medicine | 140a Washington Ave, Cedarhurst, NY 11516 | 2020-11-02 |
| 1770116956 | Wellbeing Medical Care, Pllc | Internal Medicine | 3745 75th Street, Jackson Heights, NY 11372-6435 | 2020-02-17 |
| 1962044396 | Shafi S Rana | Internal Medicine | 504 Hillside Blvd, New Hyde Park, NY 11040-2912 | 2019-10-17 |
| 1104468099 | Lebarty Medical Pllc | Internal Medicine | 317 Danielle Dr, Schenectady, NY 12303-5179 | 2019-10-11 |
| 1316591209 | Siddiqi Medical P.C. | Internal Medicine | Archcare At Mary Manning Walsh Home, 1339 York Avenue, New York, NY 10021 | 2019-07-29 |
| 1871153767 | Judith Alyce Salerno | Internal Medicine | 300 E 64th St Apt 27a, New York, NY 10065-7548 | 2019-06-13 |
| 1396259826 | Irina Powers Medical Pllc | Internal Medicine | 1562 1st Ave # 308, New York, NY 10028-4004 | 2017-11-20 |
| 1487027496 | Shujing Lin | Internal Medicine | 6309 New Utrecht Ave, Brooklyn, NY 11219-5425 | 2015-11-12 |
| 1073980744 | Young Soo Lee | Internal Medicine | 211 E 13th St, 4e, New York, NY 10003-5691 | 2015-08-28 |
| 1184007270 | Fiorella Myrella Perez | Internal Medicine | 1 Gustave L Levy Pl # 1070, New York, NY 10029 | 2015-07-07 |
| Find all providers with the same taxonomy | ||||
| City | SLEEPY HOLLOW |
| Zip Code | 10591 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.