PHITSAMAI THATVIHANE

LIVERPOOL, NY
NPI1669838108
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NY  339735)
Enumeration Date2016-01-14
Last Update Date2016-01-14
Business Address
-- PHITSAMAI THATVIHANE NP
5100 W TAFT RD SUITE 1C
LIVERPOOL, NY 13088-3807
Phone number: 315-744-1833
Mailing Address
-- PHITSAMAI THATVIHANE NP
5100 W TAFT RD SUITE 1D
LIVERPOOL, NY 13088-3807
Phone number: 315-744-1819
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