- Practice location
- 622 W 168TH St, Ph 4-124, New York, NY 10032-3720
- Phone
- 212-305-0320
- Fax
- —
- Last updated
- August 24, 2011
Andrew S Bomback is an Internal Medicine, Nephrology based in New York, NY. Andrew S Bomback practices in New York, NY and has the professional credentials of MD. The NPI Number for Andrew S Bomback is 1013129816 and holds a License No. 251905 (NY). The current practice location address for Andrew S Bomback is 622 W 168TH St, Ph 4-124, New York, NY 10032-3720 and can be reached out via phone at 212-305-0320.
Provider Profile Details
- NPI Number
- 1013129816
- Provider Name
- Andrew S Bomback
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 622 W 168TH St, Ph 4-124, New York, NY 10032-3720
- Phone Number
- 212-305-0320
- Primary Taxonomy
- Internal Medicine, Nephrology · 207RN0300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 4, 2007
- Last Update Date
- August 24, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 622 W 168TH St
Ph 4-124
New York, NY 10032-3720 - City
- New York
- State
- New York
- Zip
- 10032-3720
- Phone Number
- 212-305-0320
Provider Business Mailing Address Details
- Address
- 622 W 168TH St
Ph 4-124
New York, NY 10032-3720 - City
- New York
- State
- NY
- Zip
- 10032-3720
- Phone Number
- 212-305-0320
License Information
- License Number
- 251905
- License State
- NY
- Taxonomy
- Internal Medicine, Nephrology · 207RN0300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Andrew S Bomback, MD?
The NPI number of Andrew S Bomback, MD is 1013129816. It was assigned on May 4, 2007 and is currently active in the NPPES registry.
What is the specialty of Andrew S Bomback, MD?
Andrew S Bomback, MD is registered under the primary taxonomy Internal Medicine, Nephrology (code 207RN0300X), licensed in NY under license number 251905.
Where does Andrew S Bomback, MD practice?
The practice location is 622 W 168TH St, Ph 4-124, New York, NY 10032-3720. The office can be reached at 212-305-0320 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013129816 directly on the NPPES registry website.