Individual
MISTY D THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1044 STATE ST, SCHENECTADY, NY 12307-1508
(518) 370-1441
(518) 379-9431
Mailing address
1044 STATE ST, SCHENECTADY, NY 12307-1508
(518) 370-1441
(518) 379-9431
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F382764
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02995513
—
NY
01
—
331833
MEDICARE OSCAR
NY
01
—
53099A
MEDICAIRE PIN
NY
Enumeration date
07/25/2017
Last updated
07/21/2022
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