Individual
ANDREW S BOMBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
622 W 168TH ST, PH 4-124, NEW YORK, NY 10032-3720
(212) 305-0320
Mailing address
622 W 168TH ST, PH 4-124, NEW YORK, NY 10032-3720
(212) 305-0320
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
251905
NY
Other
Enumeration date
05/04/2007
Last updated
08/24/2011
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