Davies, Thomas

Davies, Thomas is an sole proprietor health care provider with primary practice located at 252 E Main St , E Islip NY 11730-2722. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Davies, Thomas can be contacted via phone (631) 581-8828.

Contact Information

Primary practice address
252 E Main St E Islip NY 11730-2722
Phone: (631) 581-8828
Fax: (631) 581-0545
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N003229 New York

Profile Details

NPI number 1457352072
LBN Legal business name Davies, Thomas
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2005
Last updated Oct 30th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457352072 NPPES
New York Other 4398690001 DMERC IDENTIFIER
New York Other 1528227907 DMERC IDENTIFIER
New York MEDICAID 00643389 DMERC IDENTIFIER

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