RICHARD THOMESEN

NORTHPORT, NY
NPI1013288729
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  F401427)
Enumeration Date2012-01-26
Last Update Date2012-01-26
Business Address
-- RICHARD THOMESEN NP
79 MIDDLEVILLE RD
NORTHPORT, NY 11768-2200
Phone number: 631-261-4400
Mailing Address
-- RICHARD THOMESEN NP
6 ASHLEY CT
EAST ISLIP, NY 11730-2215
Phone number: 631-261-4400
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