Provider Demographics
NPI:1093981698
Name:FINING, THOMAS E (RN)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:E
Last Name:FINING
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 LONG TREE LN APT 15
Mailing Address - Street 2:
Mailing Address - City:MORICHES
Mailing Address - State:NY
Mailing Address - Zip Code:11955-2043
Mailing Address - Country:US
Mailing Address - Phone:631-909-3127
Mailing Address - Fax:
Practice Address - Street 1:53 LONG TREE LN APT 15
Practice Address - Street 2:
Practice Address - City:MORICHES
Practice Address - State:NY
Practice Address - Zip Code:11955-2043
Practice Address - Country:US
Practice Address - Phone:631-909-3127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-02
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY517713-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse