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Contact Information

KATIE L RUDY TOMCZAK, FNP
225 SUMMIT AVE
MONTVALE, NJ07645-1523
 Phone: 201-775-7000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KATIE L RUDY TOMCZAK · (Female)

NPI # 1235428053
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 04/01/2011
Last updated 10/14/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 26NJ00947900
  • NY License # F336499
  • NY Medicaid 03331633
Hospital affiliation(s)
  • MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASES - (Acute Care)
    1275 YORK AVENUE
    NEW YORK, NY 10021
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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