10870 COSBY MANOR RD, DEERFIELD, 13502, NEW YORK
| Entity Name | SCOTT BLOOM, M.D., P.C. |
| Entity Number | 2039052 |
| Status | ACTIVE |
| Incorporation Date | 13th June 1996 |
| Dos Process Address | 99 JERICHO TPKE / SUITE 206, JERICHO, 11753, NEW YORK |
| Jurisdiction | NEW YORK |
| County | NASSAU |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |