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General NPI Number Information
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NPI Number | 1982744504
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Entity Type | Individual
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Provider Name | THOMAS ANTHONY CUMBO MD
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Gender | Male
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 03/12/2024
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Provider Practice Location Address
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Address Line | 1150 YOUNGS RD # 207
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City | WILLIAMSVILLE
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State | NY
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Zip | 14092
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Country | US
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Telephone | 866-575-4157
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Fax |
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Provider Business Mailing Address
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Address Line | 793 CENTER ST SUITE 482
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City | LEWISTON
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State | NY
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Zip | 14092
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Country | US
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Telephone | 866-575-4157
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 226644
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License Number State | NY
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