Bomback, Fredric

Bomback, Fredric is an individual health care provider with primary practice located at 99 Fieldstone Dr , Hartsdale NY 10530-1564. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Bomback, Fredric can be contacted via phone (914) 428-2120.

Contact Information

Primary practice address
99 Fieldstone Dr Hartsdale NY 10530-1564
Phone: (914) 428-2120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X 106826 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 106826 New York

Profile Details

NPI number 1417935628
LBN Legal business name Bomback, Fredric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Jan 28th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417935628 NPPES
New York Other 1C7501 HEALTH NET
New York Other 132625705 HEALTH NET
New York Other 14733 HEALTH NET
New York Other WP235 HEALTH NET
New York Other 0124825 HEALTH NET
New York Other 6301220003 HEALTH NET
New York Other 5238573 HEALTH NET
New York MEDICAID 00187682 HEALTH NET
New York Other 132625705 HEALTH NET
New York Other 712981 HEALTH NET

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