Individual
DERRON THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 N VILLAGE AVE, ROCKVILLE CENTRE, NY 11570-1000
(516) 705-1000
Mailing address
1000 N VILLAGE AVE, ROCKVILLE CENTRE, NY 11570-1000
(516) 705-1000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
606175
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
106538
NY
Other
Enumeration date
10/20/2014
Last updated
05/22/2024
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