Provider Demographics
NPI:1659980597
Name:TOMENY, ERIN E (NP)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:E
Last Name:TOMENY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:E
Other - Last Name:HANTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:4900 BROAD ROAD
Mailing Address - Street 2:RM 1139
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13215
Mailing Address - Country:US
Mailing Address - Phone:315-492-5555
Mailing Address - Fax:315-492-5550
Practice Address - Street 1:4900 BROAD ROAD
Practice Address - Street 2:RM 1139
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13215
Practice Address - Country:US
Practice Address - Phone:315-492-5555
Practice Address - Fax:315-492-5550
Is Sole Proprietor?:No
Enumeration Date:2020-07-27
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF346200-01363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily