Provider Demographics
NPI:1366642142
Name:KAROFF, THOMAS M (DO)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:M
Last Name:KAROFF
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:90 S. BEDFORD RD
Mailing Address - Street 2:CAREMOUNT MEDICAL, PC
Mailing Address - City:MT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549
Mailing Address - Country:US
Mailing Address - Phone:914-241-1050
Mailing Address - Fax:914-242-1516
Practice Address - Street 1:110 S. BEDFORD RD
Practice Address - Street 2:CAREMOUNT MEDICAL, PC
Practice Address - City:MT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549
Practice Address - Country:US
Practice Address - Phone:914-241-1050
Practice Address - Fax:914-242-1516
Is Sole Proprietor?:No
Enumeration Date:2007-07-20
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY243062207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYGHI HMOOther000000121748
NY10127885OtherCDPHP
NY3000976OtherMVP HEALTHPLAN PIN
NY1686642OtherAETNA PPO
071120000022OtherFIDELIS CARE OF NY
NY3685Q1OtherEMPIRE BCBS PROVIDER ID #
NY9633076OtherAETNA HMO
NY10127885OtherCDPHP
NY1686642OtherAETNA PPO
NYA400091105Medicare PIN