Provider Demographics
NPI:1063452936
Name:ARNONE, THOMAS J (DO)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:J
Last Name:ARNONE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 LONG POND RD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-1177
Mailing Address - Country:US
Mailing Address - Phone:585-368-4350
Mailing Address - Fax:585-227-7324
Practice Address - Street 1:1100 LONG POND RD
Practice Address - Street 2:SUITE 250
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-1177
Practice Address - Country:US
Practice Address - Phone:585-368-4350
Practice Address - Fax:585-227-7324
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY173878207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY080128625OtherMEDICARE/RAILROAD
NY01184358Medicaid
NYRA0098-GRP:BA0017Medicare PIN
NY080128625OtherMEDICARE/RAILROAD
NYRA0098-GRP:BA0017Medicare PIN
1738780W OPC FPOtherWORKERS COMP