Individual
CASSANDRA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
152 WESTSIDE AVE, FREEPORT, NY 11520-6025
(516) 967-8266
Mailing address
152 WESTSIDE AVE, FREEPORT, NY 11520-6025
(516) 967-8266
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
296066-1
NY
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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