Provider Demographics
NPI:1538506035
Name:THOMAS, SOMY MARY (NP)
Entity Type:Individual
Prefix:
First Name:SOMY
Middle Name:MARY
Last Name:THOMAS
Suffix:
Gender:F
Credentials:NP
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Other - Credentials:
Mailing Address - Street 1:STONY BROOK UNIVERSITY HOSPITAL
Mailing Address - Street 2:101 NICOLLS ROAD, T16-08 HEALTH SCIENCES CENTER
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-8167
Mailing Address - Country:US
Mailing Address - Phone:631-444-1066
Mailing Address - Fax:631-444-1054
Practice Address - Street 1:STONY BROOK UNIVERSITY HOSPITAL
Practice Address - Street 2:101 NICOLLS ROAD, T16-08 HEALTH SCIENCES CENTER
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-8167
Practice Address - Country:US
Practice Address - Phone:631-444-1066
Practice Address - Fax:631-444-1054
Is Sole Proprietor?:No
Enumeration Date:2013-05-24
Last Update Date:2013-07-22
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Provider Licenses
StateLicense IDTaxonomies
NYF306149-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health