Basic Information
| Provider Information | |||||||||
| NPI: | 1366642142 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KAROFF | ||||||||
| FirstName: | THOMAS | ||||||||
| MiddleName: | M. | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 90 S. BEDFORD RD | ||||||||
| Address2: | CAREMOUNT MEDICAL, PC | ||||||||
| City: | MT KISCO | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10549 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9142411050 | ||||||||
| FaxNumber: | 9142421516 | ||||||||
| Practice Location | |||||||||
| Address1: | 110 S. BEDFORD RD | ||||||||
| Address2: | CAREMOUNT MEDICAL, PC | ||||||||
| City: | MT KISCO | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10549 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9142411050 | ||||||||
| FaxNumber: | 9142421516 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/20/2007 | ||||||||
| LastUpdateDate: | 02/13/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 243062 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | GHI HMO | 01 | NY | 000000121748 | OTHER | 10127885 | 01 | NY | CDPHP | OTHER | 3000976 | 01 | NY | MVP HEALTHPLAN PIN | OTHER | 1686642 | 01 | NY | AETNA PPO | OTHER | 071120000022 | 01 | FIDELIS CARE OF NY | OTHER | 3685Q1 | 01 | NY | EMPIRE BCBS PROVIDER ID # | OTHER | 9633076 | 01 | NY | AETNA HMO | OTHER |