Organization · NPI-2

Alan Bloomberg MD PC

Emergency Medicine, Emergency Medical Services · Albany, NY

NPI number1396839486

StatusActive

Last updated in NPPESJun 18, 2012

Details

NPI: 1396839486
Entity type: Organization (NPI-2)
Legal business name: Alan Bloomberg MD PC
Organization subpart: No
Enumeration date: Oct 3, 2006
Last updated: Jun 18, 2012

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207PE0004X	Emergency Medicine, Emergency Medical Services	–	–	Yes
111NX0800X	Chiropractor, Orthopedic	–	–
225100000X	Physical Therapist	–	–

Other names

Albany Multi-Medicine Group (Doing Business As)

Practice location

1694 Central Ave
Albany, NY 12205

Phone 518-869-3884 · Fax 518-869-6030

Mailing address

1694 Central Ave
Albany, NY 12205

Phone 518-869-3884 · Fax 518-869-6030

Authorized official

Ericka H. Jensen
Office Manager
5188693884

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