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EMMANNUEL THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-C

Contact information

Practice address
600 ROE AVE, ELMIRA, NY 14905-1629
(607) 737-4100
Mailing address
163 HILTON DR, HORSEHEADS, NY 14845-1834
(917) 705-9089

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F345273-01
NY

Other

Enumeration date
03/16/2020
Last updated
03/16/2020
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