DAVID ARI BLOOM MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****71

NOT RENEWED

N

MD

DAVID

ARI

BLOOM

DAVID ARI BLOOM MD

07/14/2015

08/09/2017

09/30/2020

ROCKAWAY PARK

NY

11694

NEW YORK

PRACTITIONER

II III IV V

N

01/14/2021