Provider Demographics
NPI:1225265143
Name:DOXSEE, THOMAS M (MSOTR/L)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:M
Last Name:DOXSEE
Suffix:
Gender:M
Credentials:MSOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:367 AVONDALE DR
Mailing Address - Street 2:
Mailing Address - City:EAST YAPHANK
Mailing Address - State:NY
Mailing Address - Zip Code:11967-1401
Mailing Address - Country:US
Mailing Address - Phone:631-413-7890
Mailing Address - Fax:631-729-3175
Practice Address - Street 1:367 AVONDALE DR
Practice Address - Street 2:
Practice Address - City:EAST YAPHANK
Practice Address - State:NY
Practice Address - Zip Code:11967-1401
Practice Address - Country:US
Practice Address - Phone:631-413-7890
Practice Address - Fax:631-729-3175
Is Sole Proprietor?:No
Enumeration Date:2009-06-18
Last Update Date:2009-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014457225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist