Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 11013353 | FL |
N | 363L00000X | Nurse Practitioner | 12.009763 | CT |
N | 363L00000X | Nurse Practitioner | 26NJ01244100 | NJ |
Y | 363L00000X | Nurse Practitioner | 310415 | NY |
NPI | 1003568841 |
---|---|
Provider Name | Thomas Mccurdy |
First Address | Long Island City, NY 11101-3024 |
Second Address | Long Island City, NY 11101-3024 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2022 |
Last Update Date | 24/01/2022 |