Provider Demographics
NPI:1770523342
Name:ARTIM, THOMAS S (MD)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:S
Last Name:ARTIM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:539 CLEVELAND DR
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14225-1024
Mailing Address - Country:US
Mailing Address - Phone:716-834-9486
Mailing Address - Fax:716-834-6466
Practice Address - Street 1:539 CLEVELAND DR
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14225-1024
Practice Address - Country:US
Practice Address - Phone:716-834-9486
Practice Address - Fax:716-834-6466
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2010-04-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY161110207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00889592Medicaid
NY00889592Medicaid
NYB70992Medicare UPIN