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Individual

SHINU M THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2 1ST AVE, ORANGEBURG, NY 10962-1106
(845) 680-4050
Mailing address
29 DORCHESTER DR, AIRMONT, NY 10952-4211
(184) 553-6244

Taxonomy

Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
595323
NY

Other

Enumeration date
12/21/2023
Last updated
12/21/2023
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