Thomas S. Hom Dmdpc | |
185 Park Row Ste 9 New York NY 10038-5000 | |
(212) 732-1329 | |
Not Available |
Full Name | Thomas S. Hom Dmdpc |
---|---|
Speciality | Clinic/center - Dental |
Location | 185 Park Row Ste 9, New York, New York |
Authorized Official Name and Position | Thomas Shelwah Hom (PRESIDENT/OWNER) |
Authorized Official Contact | 2127321329 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Thomas S. Hom Dmdpc 185 Park Row Ste 9 New York NY 10038-5000 Ph: (212) 732-1329 | Thomas S. Hom Dmdpc 185 Park Row Ste 9 New York NY 10038-5000 Ph: (212) 732-1329 |
NPI Number | 1154741940 |
---|---|
Provider Enumeration Date | 04/21/2014 |
Last Update Date | 04/21/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154741940 | NPI | - | NPPES |
00306083 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 032253 (New York) | Primary |
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