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 |