Individual
MS. THOMAS A WORMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
168688
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01059865
—
NY
01
—
9865
BLUE SHIELD
NY
01
—
MD4041
PREFERRED CARE
NY
Enumeration date
08/18/2005
Last updated
07/13/2026
Update your record
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