Thanik, Jaimala

Thanik, Jaimala is an individual health care provider with primary practice located at 604 Elmwood Avenue Box 604, Rochester NY 14642-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Thanik, Jaimala can be contacted via phone (585) 275-2141.

Contact Information

Primary practice address
604 Elmwood Avenue Box 604 Rochester NY 14642-0001
Phone: (585) 275-2141
Fax: (585) 244-7271
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 121860 New York

Profile Details

NPI number 1619931896
LBN Legal business name Thanik, Jaimala
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Sep 10th, 2012 - about 12 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 1619931896 NPPES
New York Other 102222AH PREFERRED CARE
New York MEDICAID 00362987 PREFERRED CARE
New York Other 010121860 PREFERRED CARE

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