Individual
DANIELLE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
28 45TH ST, ISLIP, NY 11751-1702
(631) 387-1534
Mailing address
28 45TH ST, ISLIP, NY 11751-1702
(631) 387-1534
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
352383
NY
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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