Robin Beth Bloom, R.D.
Individual provider Active NPI Registered Dietitian · Northport, NY
NPI 1043322258 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1043322258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- Practice address
- 79 Middleville Rd
Northport, NY 11768-2200 - Phone
- (631) 261-4400
- Fax
- (631) 266-6018
- NPI assigned
- Sep 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Yes |
Addresses
Primary practice location
79 Middleville Rd
Northport, NY 11768-2200
Mailing address
79 Middleville Rd
Northport, NY 11768-2200
Phone (631) 261-4400
Other providers in Northport, NY
- Amanda Marie Bitetto
- Linda Ellen Blake
- Allison Blanton
- Erin Elizabeth Blasdel
- Marcie Bligh
- Sara Elizabeth Bobkin
- Suzanne C Bobko
- Bettina Boccaccio
- Russell Keith Bomse
- Brenda Botwinick
All providers in Northport, NY · Registered Dietitian in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.