M Ary I Thomas, LPN | |
647 N Dunton Ave, East Patchogue, NY 11772-4945 | |
(631) 803-2040 | |
Not Available |
Full Name | M Ary I Thomas |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 647 N Dunton Ave, East Patchogue, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568598472 | NPI | - | NPPES |
01431929 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 200643-1 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
M Ary I Thomas, LPN 647 N Dunton Ave, East Patchogue, NY 11772-4945 Ph: (631) 803-2040 | M Ary I Thomas, LPN 647 N Dunton Ave, East Patchogue, NY 11772-4945 Ph: (631) 803-2040 |
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