Search › New York › 171100000X
Phyllis Bloom, LSW, L.AC
NPI 1750398640 · on the registry since 2006 · sole proprietor
Practice
- Address
- 875 Sixth Avenue
Suite #1108
Ny, NY 10001 - Phone
- (212) 967-1393
- Fax
- (212) 967-5996
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Also registered as
- 104100000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-11
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