Provider Demographics
NPI:1497942809
Name:CIMATO, THOMAS R (MD PHD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:R
Last Name:CIMATO
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Gender:M
Credentials:MD PHD
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Mailing Address - Street 1:3435 MAIN ST
Mailing Address - Street 2:361 BIOMEDICAL RESEARCH BUILDING
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14214-3001
Mailing Address - Country:US
Mailing Address - Phone:716-829-2663
Mailing Address - Fax:716-829-2665
Practice Address - Street 1:3980 SHERIDAN DR
Practice Address - Street 2:6TH FLOOR
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-1727
Practice Address - Country:US
Practice Address - Phone:716-882-6544
Practice Address - Fax:716-882-6833
Is Sole Proprietor?:No
Enumeration Date:2007-09-29
Last Update Date:2011-11-22
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Provider Licenses
StateLicense IDTaxonomies
MDD0061287207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02949439Medicaid
NY2115131OtherINDEPENDENT HEALTH
NYRB6912Medicare PIN