Individual
DR. ANTONINO TANO DIMARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7901 ROME WESTERNVILLE RD, ROME, NY 13440-2203
(315) 624-9000
(315) 624-9003
Mailing address
7845 ROME WESTERNVILLE RD, ROME, NY 13440-2202
(315) 337-2500
(855) 667-1414
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
134503-01
NY
207RC0000X
Cardiovascular Disease Physician
134503
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00534905
—
NY
Enumeration date
06/13/2005
Last updated
09/08/2020
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