Provider Demographics
NPI:1558638254
Name:THAU, SANDEE (RN)
Entity Type:Individual
Prefix:MRS
First Name:SANDEE
Middle Name:
Last Name:THAU
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 CEDAR SWAMP RD
Mailing Address - Street 2:
Mailing Address - City:JERICHO
Mailing Address - State:NY
Mailing Address - Zip Code:11753-1201
Mailing Address - Country:US
Mailing Address - Phone:516-203-3600
Mailing Address - Fax:516-203-3626
Practice Address - Street 1:99 CEDAR SWAMP RD
Practice Address - Street 2:
Practice Address - City:JERICHO
Practice Address - State:NY
Practice Address - Zip Code:11753-1201
Practice Address - Country:US
Practice Address - Phone:516-203-3600
Practice Address - Fax:516-203-3626
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-23
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY305365-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse