Provider Demographics
NPI:1528381613
Name:D'AURIA, THOMAS F
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:F
Last Name:D'AURIA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 DONCASTER AVE
Mailing Address - Street 2:
Mailing Address - City:WEST ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11795-1219
Mailing Address - Country:US
Mailing Address - Phone:631-893-0217
Mailing Address - Fax:
Practice Address - Street 1:24 DONCASTER AVE
Practice Address - Street 2:
Practice Address - City:WEST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11795-1219
Practice Address - Country:US
Practice Address - Phone:631-893-0217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-04
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034036-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist