Individual
ALAN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 COLLEGE AVE STE 3, ELMIRA, NY 14901-1154
(607) 733-4504
Mailing address
1300 COLLEGE AVE STE 3, ELMIRA, NY 14901-1154
(607) 733-4504
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
312775
NY
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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