Individual
DR. VIVIAN F TOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1729 BURRSTONE RD, NEW HARTFORD, NY 13413-1001
(315) 798-1500
(315) 798-1707
Mailing address
1729 BURRSTONE RD, NEW HARTFORD, NY 13413-1001
(315) 798-1500
(315) 798-1707
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
178104
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120U21
HCFA
NY
Enumeration date
08/20/2006
Last updated
10/18/2014
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