| Doctor Name: | MR. PETER MARK BLOOM |
| NPI Number: | 1780891200 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S. |
| License Number: | 008016 |
| Business Practice Address: | 366 Lake Shore Rd Putnam Valley, NY - 105791314 |
| Business Phone Number: | 9142202710 |
| Business Fax Number: | |
| Mailing Address: | 366 Lake Shore Rd, PUTNAM VALLEY |
| State: | NY |
| Postal Code: | 105791314 |
| Phone Number: | 9142202710 |
| Fax Number: | |
| NPI Enumeration Date: | 05/16/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 008016 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |