Individual
JACQUELINE ROSE TOMKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP RNC MSN
Contact information
Practice address
11 ALVENA AVE, SUITE 101, CORTLAND, NY 13045
(607) 753-7578
(607) 758-3193
Mailing address
11 ALVENA AVE, SUITE 101, CORTLAND, NY 13045
(607) 753-7578
(607) 758-3193
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
F3602031
NY
207VG0400X
Gynecology Physician
F3602031
NY
363LW0102X
Women's Health Nurse Practitioner
Primary
F3602031
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02794778
—
NY
Enumeration date
10/21/2006
Last updated
03/22/2013
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