Provider Demographics
NPI:1912144163
Name:TOMAINO, CONCETTA MARIA (DA, MT-BC, LCAT)
Entity Type:Individual
Prefix:DR
First Name:CONCETTA
Middle Name:MARIA
Last Name:TOMAINO
Suffix:
Gender:F
Credentials:DA, MT-BC, LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 ALLERTON AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-7404
Mailing Address - Country:US
Mailing Address - Phone:718-519-4236
Mailing Address - Fax:718-519-4236
Practice Address - Street 1:612 ALLERTON AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-7404
Practice Address - Country:US
Practice Address - Phone:718-519-4236
Practice Address - Fax:718-519-4236
Is Sole Proprietor?:No
Enumeration Date:2009-01-09
Last Update Date:2009-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000549225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist