Cerabona, Thomas Dominic

Cerabona, Thomas Dominic is an individual health care provider with primary practice located at 19 Bradhurst Ave Suite 1700, Hawthorne NY 10532-2140. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Cerabona, Thomas Dominic can be contacted via phone (914) 347-0162.

Contact Information

Primary practice address
19 Bradhurst Ave Suite 1700 Hawthorne NY 10532-2140
Fax: (914) 347-4401
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 157012 New York
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 157012 New York

Profile Details

NPI number 1750375036
LBN Legal business name Cerabona, Thomas Dominic
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2005
Last updated Dec 1st, 2016 - about 8 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 1750375036 NPPES
New York MEDICAID 01099274

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