MS. Phyllis Bloom, LSW, L.AC.

NPI #1750398640 in NY, New York

Provider Information

NPI Number: 1750398640
Entity Type: Individual
Name: MS. Phyllis Bloom, LSW, L.AC.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: LSW, L.AC.
Enumeration Date: Aug 2, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 875 SIXTH AVENUE
Address 2: SUITE #1108
City: NY
State: New York
ZIP Code: 10001
Phone: (212) 967-1393

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Acupuncturist	171100000X	Primary

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