IndividualActive
Andrew Bomback, M.D.
NPI 1013129816 · Nephrology Physician · New York, NY
Provider details
- NPI number
- 1013129816
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 251905 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
622 W 168th St
Ph 4-124
New York, NY 10032-3720
Phone: (212) 305-0320
Approximate (ZIP-level) locationGet directions
Mailing address
622 W 168th St
New York, NY 10032-3720
Registry dates
- Enumerated
- 2007-05-04
- Last updated
- 2011-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.