National Provider Identifier Database

FREDRIC BOMBACK, MD – NPI #1417935628
Pediatrics

A pediatrician 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.


Contact Information

FREDRIC BOMBACK, MD
99 FIELDSTONE DR
HARTSDALE, NY10530-1564
Phone: 914-428-2120
Fax:
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X
Pediatric Emergency Medicine 207PP0204X

* Indicates primary specialty

NPI Profile & details for FREDRIC BOMBACK

NPI Number 1417935628
Credentials MD
Entity Individual
Enumeration date 01/06/2006
Last updated 01/28/2014 - About 12 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 106826
  • NY Medicaid: 00187682
  • NM Other: 132625705 POMCO
  • NY Other: 0124825 AETNA HMO
  • NY Other: 5238573 AETNA PPO
  • NY Other: 6301220003 CIGNA
  • NY Other: 712981 EMPIRE BCBS
  • NY Other: 1C7501 HEALTH NET
  • NY Other: 14733 HEALTHSOURCE
  • NY Other: WP235 OXFORD
  • NY Other: 132625705 UNITED HEALTHCARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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