Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK PHILIP TOM, M.D.
Active Sole ProprietorJACK PHILIP TOM, M.D. is a Dermatology healthcare provider located in STONY BROOK, New York. NPI 1093724239 is currently active in the NPPES registry. Verify at CMS.
Dermatology · STONY BROOK, NY
Registration Details
- NPI Number
- 1093724239
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 5, 2006 (20.031325363019 yrs)
- Last Updated
- Jul 8, 2007
- License
-
155342 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
207 HALLOCK RDSUITE 211STONY BROOK, NY, 117903033Browse NY providers · Browse ZIP 11790
- Phone
- 6314440004
- Fax
- 6314440088
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in STONY BROOK, NY
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES JOSEPH BRILEY JR. | DO | 1265434682 |
| DR. ELYSE S. RAFAL | M.D. | 1477515781 |
| JOANN N SALVEMINI | MD | 1023062973 |
| DR. AMY WISHNER STEINBERG | MD | 1841396546 |
| DR. JEREMY MICHAEL HUGH | M.D. | 1427316348 |
| NEAL SHAH | MD | 1053717215 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.