Individual
MR. THOMAS JOSEPH DOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PNP
Contact information
Practice address
1130 DEER PARK AVE, NORTH BABYLON, NY 11703-3102
(631) 667-4767
Mailing address
1130 DEER PARK AVE, NORTH BABYLON, NY 11703-3102
(631) 667-4767
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
.
NY
363LP0200X
Pediatric Nurse Practitioner
633812
NY
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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