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1669838108
PHITSAMAI THATVIHANE
LIVERPOOL, NY
NPI
1669838108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NY 339735)
Enumeration Date
2016-01-14
Last Update Date
2016-01-14
Business Address
-- PHITSAMAI THATVIHANE NP
5100 W TAFT RD SUITE 1C
LIVERPOOL, NY 13088-3807
Phone number: 315-744-1833
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Mailing Address
-- PHITSAMAI THATVIHANE NP
5100 W TAFT RD SUITE 1D
LIVERPOOL, NY 13088-3807
Phone number: 315-744-1819
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