Individual
BETSY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
376 E MAIN ST, BAY SHORE, NY 11706-8441
(631) 273-3080
Mailing address
521 GLENWOOD LN, EAST MEADOW, NY 11554-3719
(516) 205-5430
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F344784-01
NY
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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