Provider Demographics
NPI:1588622930
Name:BLOOMFIELD, NAOMI TERRY (MD)
Entity Type:Individual
Prefix:DR
First Name:NAOMI
Middle Name:TERRY
Last Name:BLOOMFIELD
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:711 TROY SCHENECTADY RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-2442
Mailing Address - Country:US
Mailing Address - Phone:518-782-3700
Mailing Address - Fax:518-782-3799
Practice Address - Street 1:101 JORDAN RD
Practice Address - Street 2:SUITE 200
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180-8343
Practice Address - Country:US
Practice Address - Phone:518-274-0476
Practice Address - Fax:518-274-0497
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2013-08-16
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Provider Licenses
StateLicense IDTaxonomies
NY153263207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
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NY141655014OtherEMPIRE PLAN
NY141655014OtherUNITED HEALTHCARE
NYB82538Medicare UPIN
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