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1609412741
THOMAS BANKS
STONY BROOK, NY
NPI
1609412741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 002864-01)
Enumeration Date
2019-11-25
Last Update Date
2019-11-25
Business Address
Mr. THOMAS BANKS Physician Assistant
100 NICOLLS RD
STONY BROOK, NY 11790-3407
Phone number: 631-444-3704
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Mailing Address
Mr. THOMAS BANKS Physician Assistant
PO BOX 1559
STONY BROOK, NY 11790-0989
Phone number: 631-444-3704
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