Provider Demographics
NPI:1437493152
Name:POMONA FAMILY MEDICAL ASSOCIATES LLP
Entity Type:Organization
Organization Name:POMONA FAMILY MEDICAL ASSOCIATES LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN, PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOKETCH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:914-588-1035
Mailing Address - Street 1:11 MEDICAL PARK DR
Mailing Address - Street 2:STE 100
Mailing Address - City:POMONA
Mailing Address - State:NY
Mailing Address - Zip Code:10970-3559
Mailing Address - Country:US
Mailing Address - Phone:845-354-0510
Mailing Address - Fax:845-354-0629
Practice Address - Street 1:11 MEDICAL PARK DR
Practice Address - Street 2:STE 100
Practice Address - City:POMONA
Practice Address - State:NY
Practice Address - Zip Code:10970-3559
Practice Address - Country:US
Practice Address - Phone:845-354-0510
Practice Address - Fax:845-354-0629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-19
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Multi-Specialty