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1790331452
SHIBY THOMAS
STONY BROOK, NY
NPI
1790331452
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F309366-01)
Enumeration Date
2019-08-16
Last Update Date
2021-11-19
Business Address
Mrs. SHIBY THOMAS
100 NICOLLS RD
STONY BROOK, NY 11794-1252
Phone number: 631-444-1066
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Mailing Address
Mrs. SHIBY THOMAS
20 REDWOOD LN
MILLER PLACE, NY 11764-3030
Phone number: 631-561-5176
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