Provider Demographics
NPI:1609191816
Name:DINGMAN, THOMAS M (RPH)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:M
Last Name:DINGMAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 BAKER AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-1375
Mailing Address - Country:US
Mailing Address - Phone:845-471-7455
Mailing Address - Fax:
Practice Address - Street 1:19 BAKER AVE STE 207
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-1375
Practice Address - Country:US
Practice Address - Phone:845-471-7455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-30
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043502183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist