Provider Demographics
NPI:1447370440
Name:TOMEO, ANITA (OWNER)
Entity type:Individual
Prefix:MRS
First Name:ANITA
Middle Name:
Last Name:TOMEO
Suffix:
Gender:F
Credentials:OWNER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 MAJESTIC DR
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-4858
Mailing Address - Country:US
Mailing Address - Phone:516-333-6110
Mailing Address - Fax:516-333-1195
Practice Address - Street 1:471 OLD COUNTRY RD
Practice Address - Street 2:
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-5106
Practice Address - Country:US
Practice Address - Phone:631-333-6110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier