Individual
JANINE THOMESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
141 DOSORIS LN, GLEN COVE, NY 11542-1225
(872) 231-3162
(702) 977-1496
Mailing address
PO BOX 22239, NEW YORK, NY 10087-0001
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
431403
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05987820
—
NY
Enumeration date
05/08/2018
Last updated
11/21/2025
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