T. Anthony Cumbo Md Pllc | |
1150 Youngs Rd #210 Lewiston NY 14092 | |
(866) 575-4157 | |
Not Available |
Full Name | T. Anthony Cumbo Md Pllc |
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Speciality | Internal Medicine |
Location | 1150 Youngs Rd, Lewiston, New York |
Authorized Official Name and Position | Thomas Anthony Cumbo (OWNER/OPERATOR) |
Authorized Official Contact | 8665754157 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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T. Anthony Cumbo Md Pllc 793 Center St. #482 Lewiston NY 14092 Ph: (866) 575-4157 | T. Anthony Cumbo Md Pllc 1150 Youngs Rd #210 Lewiston NY 14092 Ph: (866) 575-4157 |
NPI Number | 1245210145 |
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Provider Enumeration Date | 01/18/2006 |
Last Update Date | 04/23/2014 |
Medicare PECOS PAC ID | 9133157902 |
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Medicare Enrollment ID | O20050802000899 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245210145 | NPI | - | NPPES |
000528277001 | Other | NY | BLUE CROSS / BLUE SHIELD |
3413004 | Other | NY | INDEPENDANT HEALTH |
02664579 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | 226644 (New York) | Primary |
Provider Name | Thomas A Cumbo |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1982744504 PECOS PAC ID: 3476581257 Enrollment ID: I20050808000026 |
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