Thailer, Richard

Thailer, Richard is an individual health care provider with primary practice located at 19 Mansfield Ln S , East Northport NY 11731-4134. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Thailer, Richard can be contacted via phone (631) 334-0627.

Contact Information

Primary practice address
19 Mansfield Ln S East Northport NY 11731-4134
Phone: (631) 334-0627
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1490 New York

Profile Details

NPI number 1023651643
LBN Legal business name Thailer, Richard
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2019
Last updated Oct 27th, 2019 - about 6 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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