Toback, Clifford J

Toback, Clifford J is an individual health care provider with primary practice located at 388 Blooming Grove Tpke , New Windsor NY 12523. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Toback, Clifford J can be contacted via phone (845) 561-1255.

Contact Information

Primary practice address
388 Blooming Grove Tpke New Windsor NY 12523
Fax: (845) 561-4033
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N003616 New York

Profile Details

NPI number 1558338301
LBN Legal business name Toback, Clifford J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Jan 10th, 2022 - about 2 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 1558338301 NPPES
New York MEDICAID 01627494

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