Individual
CAITLIN W TOMKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210
(315) 464-4570
Mailing address
8132 VERBECK DR, MANLIUS, NY 13104-9316
(518) 681-1628
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
22695925
NY
363LF0000X
Family Nurse Practitioner
Primary
343444
NY
Other
Enumeration date
06/11/2018
Last updated
08/19/2018
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