Individual
SANJAY M THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21 READE PL, SUITE 3100, POUGHKEEPSIE, NY 12601-3912
(845) 214-1800
(845) 214-1818
Mailing address
1351 ROUTE 55, SUITE 200, LAGRANGEVILLE, NY 12540-5108
(845) 475-9661
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
241735
NY
208600000X
Surgery Physician
Primary
241735
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200045450A
—
OK
Enumeration date
01/30/2006
Last updated
07/18/2013
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