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Contact Information

FREDRIC BOMBACK, MD
99 FIELDSTONE DR
HARTSDALE, NY10530-1564
 Phone: 914-428-2120
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Pediatric Emergency Medicine

207PP0204X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for FREDRIC BOMBACK · (Male)

NPI # 1417935628
Status Active
Credentials MD
Entity Individual
Enumeration date 01/06/2006
Last updated 01/28/2014 - About 12 years ago
Sole proprietor 1 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(s) Not Available
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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