IndividualActive
Ashley Bloom
NPI 1336773423 · Counselor · Coram, NY
Ashley Bloom is a Counselor provider in Coram, NY (NPI 1336773423).
Provider details
- NPI number
- 1336773423
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Practice location
3600 Route 112
Coram, NY 11727-4116
Phone: (631) 920-8302
Street-level locationGet directions
Mailing address
14202 20th Ave
Flushing, NY 11351-3000
Registry dates
- Enumerated
- 2020-02-27
- Last updated
- 2020-02-27
- Certified
- 2020-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.