Individual
JOAN L THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 CANAL LANDING BLVD, SUITE #8, ROCHESTER, NY 14626-5109
(585) 239-7300
(585) 227-7723
Mailing address
2365 S CLINTON AVE, SUITE #100, ROCHESTER, NY 14618-2663
(585) 442-5320
(585) 442-5526
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
159039
NY
207RC0000X
Cardiovascular Disease Physician
Primary
159039
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01194150
—
NY
Enumeration date
05/17/2006
Last updated
05/25/2021
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