Dimarco, Antonino Tano

Dimarco, Antonino Tano is an individual health care provider with primary practice located at 7901 Rome Westernville Rd , Rome NY 13440-2203. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Dimarco, Antonino Tano can be contacted via phone (315) 624-9000.

Contact Information

Primary practice address
7901 Rome Westernville Rd Rome NY 13440-2203
Fax: (315) 624-9003
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 134503 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 134503-01 New York

Profile Details

NPI number 1922002393
LBN Legal business name Dimarco, Antonino Tano
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Sep 8th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922002393 NPPES
New York MEDICAID 00534905

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