National Provider Identifier
Theresa K Bommaritto
Theresa K Bommaritto is listed in the NPPES registry with a primary specialty of Specialist in Elmira, NY and a listed phone number of (607) 734-3649.
Profile Overview
- NPI
- 1326380270
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- March 19, 2013
- Last Updated
- March 19, 2013
Practice Location
- 708 W 3Rd St
- Elmira, NY 14905-2244
Phone: (607) 734-3649
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1326380270
- Entity Type
- Individual
- Last Name
- Bommaritto
- First Name
- Theresa
- Middle Name
- K
- Mailing Street Address
- 708 W 3Rd St
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14905-2244
- Mailing Country
- US
- Mailing Phone
- (607) 734-3649
- Practice Street Address
- 708 W 3Rd St
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14905-2244
- Practice Country
- US
- Practice Phone
- (607) 734-3649
- Enumeration Date
- March 19, 2013
- Last Updated
- March 19, 2013
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)