Dr. Fredric Bomback
MD | Pediatrics | Male
Dr. Fredric Bomback, MD is a Hartsdale, New York based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Fredric Bomback is
99 Fieldstone Dr, Hartsdale, New York - 10530-1564. He can be contacted on phone at
914-428-2120.
Dr. Fredric Bomback is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Fredric Bomback is
1417935628 which was assigned by NPPES on 06 Jan, 2006 and it was last updated on 28 Jan, 2014.
Dr. Fredric Bomback license number is
106826 for Pediatrics (208000000X) in New York.
Dr. Fredric Bomback is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Fredric Bomback basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. Fredric Bomback |
|---|
| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Fredric Bomback address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 99 Fieldstone Dr
Hartsdale, NY, 10530-1564
United States |
|---|
| Phone Number : | 914-428-2120 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1417935628 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 06 Jan, 2006 |
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| Last Updated On : | 28 Jan, 2014 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Fredric Bomback are as mentioned. Primary taxonomy code for Dr. Fredric Bomback, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207PP0204X | Emergency Medicine Pediatric Emergency Medicine | No | 106826 | NY |
| 208000000X | Pediatrics | Yes | 106826 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Fredric Bomback such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 132625705 | Other | NY | UNITED HEALTHCARE |
| 0124825 | Other | NY | AETNA HMO |
| 712981 | Other | NY | EMPIRE BCBS |
| WP235 | Other | NY | OXFORD |
| 1C7501 | Other | NY | HEALTH NET |
| 6301220003 | Other | NY | CIGNA |
| 00187682 | MEDICAID | NY | |
| 5238573 | Other | NY | AETNA PPO |
| 132625705 | Other | NM | POMCO |
| 14733 | Other | NY | HEALTHSOURCE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 99 Fieldstone Dr
Hartsdale, NY, 10530-1564
United States |
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| Phone Number : | 914-428-2120 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Fredric Bomback practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.