Individual
DR. FERN J. THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
531 SOUTHSIDE DR, SUITE 2, ONEONTA, NY 13820-3211
(607) 436-9030
(607) 436-9031
Mailing address
531 SOUTHSIDE DR, SUITE 2, ONEONTA, NY 13820-3211
(607) 436-9030
(607) 436-9031
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
199660
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02265992
—
NY
01
—
10067574
CDPHP
—
01
—
393599
MVP
—
01
—
488858
VALUE OPTIONS
—
01
—
7336432
GHI
—
Enumeration date
10/15/2005
Last updated
07/08/2007
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