Tomback, William
Tomback, William is an sole proprietor health care provider with primary practice located at 1 Primrose Drive , Somers NY 10589-0390. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Tomback, William can be contacted via phone (914) 232-1803.Contact Information
Primary practice address
1 Primrose Drive
Somers NY 10589-0390
Phone: (914) 232-1803
Fax: (914) 232-5538
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | N002882 | New York |
Profile Details
NPI number | 1417955642 |
---|---|
LBN Legal business name | Tomback, William |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 12th, 2005 |
Last updated | Jan 7th, 2013 - about 11 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 | 1417955642 | NPPES |
New York | MEDICAID | 00403434 |
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