Healthcare Provider Details

I. General information

NPI: 1811842545
Provider Name (Legal Business Name): MICHELLE TOMBARI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 02/27/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

422 MUMFORD ST
SCHENECTADY NY
12307
US

IV. Provider business mailing address

422 MUMFORD ST
SCHENECTADY NY
12307
US

V. Phone/Fax

Practice location:
  • Phone: 518-370-8220
  • Fax:
Mailing address:
  • Phone: 518-370-8220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number612211
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: