Poomkudy, Thomas Augustine
Poomkudy, Thomas Augustine is an individual health care provider with primary practice located at 24850 Jericho Tpke , Floral Park NY 11001-4002. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Poomkudy, Thomas Augustine can be contacted via phone (516) 488-1500.Contact Information
Primary practice address
24850 Jericho Tpke
Floral Park NY 11001-4002
Phone: (516) 488-1500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 047381 | New York |
Profile Details
| NPI number | 1285792119 |
|---|---|
| LBN Legal business name | Poomkudy, Thomas Augustine |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 4th, 2006 |
| Last updated | Apr 20th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285792119 | NPPES |
| New York | MEDICAID | 01819194 |
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