Tomko, Jacqueline Rose

Tomko, Jacqueline Rose is an individual health care provider with primary practice located at 11 Alvena Ave Suite 101, Cortland NY 13045. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Tomko, Jacqueline Rose can be contacted via phone (607) 753-7578.

Contact Information

Primary practice address
11 Alvena Ave Suite 101 Cortland NY 13045
Phone: (607) 753-7578
Fax: (607) 758-3193
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X F3602031 New York
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X F3602031 New York
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X F3602031 New York

Profile Details

NPI number 1467535898
LBN Legal business name Tomko, Jacqueline Rose
Credentials NP RNC MSN
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2006
Last updated Mar 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467535898 NPPES
New York MEDICAID 02794778

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