Provider Demographics
NPI:1265492664
Name:DINOLFO, TAMARA ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:TAMARA
Middle Name:ELIZABETH
Last Name:DINOLFO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3101 W RIDGE RD
Mailing Address - Street 2:BLDG D
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-3249
Mailing Address - Country:US
Mailing Address - Phone:585-225-1580
Mailing Address - Fax:585-225-2040
Practice Address - Street 1:3101 W RIDGE RD
Practice Address - Street 2:BLDG D
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-3249
Practice Address - Country:US
Practice Address - Phone:585-225-1580
Practice Address - Fax:585-225-2040
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY200347207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY010200347OtherBLUE CHOICE
NY01592534Medicaid
NY101600CKOtherPREFERRED CARE
NY010200347OtherBLUE CHOICE
NY101600CKOtherPREFERRED CARE