Individual
DARNIESHA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28-11QUEENSPLAZANORTH, LON, NY 11101
(718) 391-8300
Mailing address
905 HARPER ST, UTICA, NY 13502-3819
(212) 920-7366
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
747893
NY
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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