National Provider Identifier
Thomas Michael Fadale Jr., PHARMD
Thomas Michael Fadale Jr., PHARMD is listed in the NPPES registry with a primary specialty of Pharmacist in Ithaca, NY and a listed phone number of (607) 257-0291.
Profile Overview
- NPI
- 1215697917
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- December 21, 2021
- Last Updated
- December 21, 2021
Practice Location
- 40 Catherwood RD
- Ithaca, NY 14850-1056
Phone: (607) 257-0291
Mailing Address
- 6018 Hewson RD
- Lake View, NY 14085-9582
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1215697917
- Entity Type
- Individual
- Last Name
- Fadale
- First Name
- Thomas
- Middle Name
- Michael
- Name Suffix
- Jr.
- Credential
- PHARMD
- Mailing Street Address
- 6018 Hewson RD
- Mailing City
- Lake View
- Mailing State
- NY
- Mailing ZIP Code
- 14085-9582
- Mailing Country
- US
- Mailing Phone
- (716) 435-4462
- Practice Street Address
- 40 Catherwood RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1056
- Practice Country
- US
- Practice Phone
- (607) 257-0291
- Enumeration Date
- December 21, 2021
- Last Updated
- December 21, 2021
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- December 21, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)