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Individual

DR. THOMAS DEMUNDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-2680
Mailing address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-2680

Taxonomy

Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
042401
NY
1835P1200X
Pharmacotherapy Pharmacist
Primary
042401
NY

Other

Enumeration date
08/13/2013
Last updated
08/13/2013
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