Individual
CHARMIZE DISHANE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
41 SANTEE ST, ROCHESTER, NY 14606-2505
(585) 360-9202
Mailing address
145 WEYL ST, ROCHESTER, NY 14621-3617
(585) 360-9202
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
273360-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02719473
—
NY
Enumeration date
10/29/2010
Last updated
09/11/2025
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