Richard Thomesen
Nurse Practitioner - Psychiatric/Mental Health
79 Middleville Rd
Northport
, New York 11768-2200
Richard Thomesen
Nurse Practitioner - Psychiatric/Mental Health
79 Middleville Rd
Northport
, New York 11768-2200
(631) 261-4400
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Richard Thomesen
- 6 Ashley Ct
- East Islip, NY
- Zip : 11730-2215
- Phone : (631) 261-4400
Second Address
- Richard Thomesen
- 79 Middleville Rd
- Northport, NY
- Zip : 11768-2200
- Phone : (631) 261-4400
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What type of doctor is Richard Thomesen
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Is Richard Thomesen a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | F401427 | NY |
National Provider Identifier
| NPI | 1013288729 |
|---|---|
| Provider Name | Richard Thomesen |
| First Address | East Islip, NY 11730-2215 |
| Second Address | Northport, NY 11768-2200 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/01/2012 |
| Last Update Date | 26/01/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.