Individual
THOMAS M CARPENTER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7109 RTE. 209, WAWARSING, NY 12489-1248
(845) 647-8157
Mailing address
PO BOX 247, WAWARSING, NY 12489-0247
(845) 647-8157
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
721077085
NY
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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