Individual
MS. BECKY L THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-4101
Mailing address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-4101
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
007836
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03007072/RGH
—
NY
01
—
P019007836
BLUE CHOICE
NY
01
—
PA0227
PREFERRED CARE
NY
Enumeration date
06/28/2006
Last updated
05/28/2021
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