Individual
DANIELLE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 PROSPECT PL, TOMKINS COVE, NY 10986-1212
(845) 596-7276
Mailing address
6 PROSPECT PL, TOMKINS COVE, NY 10986-1212
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
293133
NY
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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