Individual
MUTYA V THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 SHERWOOD RD, CORTLANDT MANOR, NY 10567-1000
(914) 844-6251
Mailing address
30 SHERWOOD RD, CORTLANDT MANOR, NY 10567-1000
(914) 844-6251
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
1605684
NY
Other
Enumeration date
09/02/2024
Last updated
09/02/2024
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