Healthcare Provider Details

I. General information

NPI: 1679596696
Provider Name (Legal Business Name): DAVID CHARLES TOMPKINS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 01/16/2024
Certification Date: 01/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 55TH STREET
BROOKLYN NY
11220
US

IV. Provider business mailing address

150 55TH STREET
BROOKLYN NY
11220
US

V. Phone/Fax

Practice location:
  • Phone: 718-630-8378
  • Fax: 718-630-6399
Mailing address:
  • Phone: 718-630-8378
  • Fax: 718-630-6399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberM-17631
License Number StateID
# 2
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number162134
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: