Individual
MRS. JUDITH YVETTE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
48 RTE 25A, SMITHTOWN, NY 11787-1431
(631) 265-7000
(631) 784-7410
Mailing address
48 RTE 25A, SMITHTOWN, NY 11787-1431
(631) 265-7000
(631) 784-7410
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F304005
NY
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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