1548635709 NPI number — HELEN BLOOMER & ASSOCIATES CONSULTATION, LLC

Table of content: DR. EDIT B OLASZ HARKEN M.D., PH.D (NPI 1548333024)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548635709 NPI number — HELEN BLOOMER & ASSOCIATES CONSULTATION, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HELEN BLOOMER & ASSOCIATES CONSULTATION, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548635709
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/14/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1233 BEECH ST
Provider Second Line Business Mailing Address:
WATER CLUB 2
Provider Business Mailing Address City Name:
ATLANTIC BEACH
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11509-1600
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
518-935-8831
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1233 BEECH ST
Provider Second Line Business Practice Location Address:
WATER CLUB 2
Provider Business Practice Location Address City Name:
ATLANTIC BEACH
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11509-1600
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-935-8831
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/14/2015

Additional Information

Authorized Official

Authorized Official Last Name:
BLOOMER
Authorized Official First Name:
HELEN
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
518-935-8831

Provider Taxonomy Codes

  • Taxonomy code: 103K00000X , with the licence number:  000410 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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