Individual
DUSTIN TOMEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-5731
Mailing address
38 N RIDGE RD, MAHOPAC, NY 10541-5308
(347) 256-2868
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
349257
NY
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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