Scott Phillip Bloom
Scott Phillip Bloom is a Family Practice in Jericho, New York. Qualified in 1983, 43 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 43
- Licensed in
- NY
- In the registry since
- 2006
Practice location Address checks out
380 N Broadway Ste 307Jericho, NY 11753-2109
Phone: (516) 835-4092
Fax: (516) 338-2901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 162996 (NY) |
|---|
Record details
| NPI number | 1457432171 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 18, 2006 |
| Last updated in NPPES | May 29, 2023 |
| Certification date | May 29, 2023 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 1983 (43 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Jericho
-
Dr. Mary Dale Jenkins, MD
366 N Broadway Ste 305, Jericho, NY 11753-2025 · (516) 935-7272
-
Paris Ead Phillips, MD
222 Birchwood Park Dr, Jericho, NY 11753-2303 · (516) 942-4444
-
Dr. Lesley Rechter, MD
54 Birchwood Park Dr, Jericho, NY 11753-2202 · (516) 933-6850
-
Scott Bloom MD PC
99 Jericho Tpke Ste 206, Jericho, NY 11753-1073 · (516) 338-2900