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Individual

CLIFFORD J TOBACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
388 BLOOMING GROVE TPKE, NEW WINDSOR, NY 12523
(845) 561-1255
(845) 561-4033
Mailing address
103 HURLEY AVENUE, KINGSTON, NY 12401
(845) 339-4191
(845) 339-3309

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003616
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01627494
NY
Enumeration date
03/01/2006
Last updated
01/10/2022
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