Provider Demographics
NPI:1316230758
Name:DINARDO, THOMAS MURPHY (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:MURPHY
Last Name:DINARDO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 ARBOR RD
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL HALL
Mailing Address - State:NY
Mailing Address - Zip Code:10916-3018
Mailing Address - Country:US
Mailing Address - Phone:518-593-8058
Mailing Address - Fax:
Practice Address - Street 1:33 ARBOR RD
Practice Address - Street 2:
Practice Address - City:CAMPBELL HALL
Practice Address - State:NY
Practice Address - Zip Code:10916-3018
Practice Address - Country:US
Practice Address - Phone:518-593-8058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-18
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY275595207P00000X
IN01075827A207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201336290Medicaid
IN201336290Medicaid