Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 226721 | NY |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 226721 | NY |
NPI | 1205880911 |
---|---|
Provider Name | Dr. Earlando Oliver Thomas |
First Address | Rochester, NY 14626-4111 |
Second Address | Rochester, NY 14626 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 25/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02425905 | (05) | NY |
H91142 | (02) | NY |
P00043558 | RAILROAD MEDICARE (01) | NY |