Individual
SALLY J THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 MAPLE AVE, BLOOMFIELD, NY 14469-9312
(585) 657-0045
Mailing address
53 WOODBINE PARK, GENESEO, NY 14454-1184
(585) 245-8683
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F330789
NY
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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