Provider Demographics
NPI:1083667133
Name:PIDORIANO, ARTHUR J (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:J
Last Name:PIDORIANO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:110 S BEDFORD RD
Mailing Address - Street 2:CARE MOUNT MEDICAL PC
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3446
Mailing Address - Country:US
Mailing Address - Phone:914-241-1050
Mailing Address - Fax:914-242-1516
Practice Address - Street 1:1978 CROMPOND RD
Practice Address - Street 2:CARE MOUNT MEDICAL, PC
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-4111
Practice Address - Country:US
Practice Address - Phone:914-241-1050
Practice Address - Fax:914-739-2185
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2016-11-11
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Provider Licenses
StateLicense IDTaxonomies
NY1846682207X00000X, 207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY200021420OtherRAILROAD MEDICARE
NY01486566Medicaid
NY01486566Medicaid
NYF81629Medicare UPIN
NY0D0150OtherHEALTHNET
NY01486566Medicaid
NY200021420OtherRAILROAD MEDICARE