Organization
T. ANTHONY CUMBO MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS ANTHONY CUMBO MD (OWNER/OPERATOR)
(866) 575-4157
Entity
Organization
Contact information
Practice address
1150 YOUNGS RD, #210, LEWISTON, NY 14092
(866) 575-4157
Mailing address
793 CENTER ST., #482, LEWISTON, NY 14092
(866) 575-4157
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
226644
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000528277001
BLUE CROSS / BLUE SHIELD
NY
05
—
02664579
—
NY
01
—
3413004
INDEPENDANT HEALTH
NY
Enumeration date
01/18/2006
Last updated
04/23/2014
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