Individual
THOMAS DIFLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 WOODS RD, DEPT OF TRANSPLANT, VALHALLA, NY 10595-1530
(914) 493-1286
(914) 493-1583
Mailing address
19 BRADHURST AVE STE 3100N, HAWTHORNE, NY 10532-2140
(914) 909-9018
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
189933
NY
208600000X
Surgery Physician
189933
NY
2086S0102X
Surgical Critical Care Physician
189933
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81K741
—
NY
Enumeration date
10/05/2005
Last updated
11/30/2021
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