Joanna E. Yohannes Tomicich, NP
Nurse Practitioner in New York, NY. Individual provider (NPI-1).
NPI number1760784151
StatusActive
Last updated in NPPESOct 30, 2024
Details
- NPI
- 1760784151
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Joanna E. Yohannes Tomicich
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 17, 2010
- Certification date
- Oct 30, 2024
- Last updated
- Oct 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 26NJ00432300 | NJ | Yes |
| 363L00000X | Nurse Practitioner | 305592 | NY |
Practice location
1275 York AveNew York, NY 10065-6007
Phone 212-639-2000
Mailing address
1275 York AveNew York, NY 10065-6007
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