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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 13 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 1417955642 NPPES
New York MEDICAID 00403434

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