Provider Demographics
NPI:1609827385
Name:SARC, THOMAS H (CHT)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:H
Last Name:SARC
Suffix:
Gender:M
Credentials:CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 CHERRY ST
Mailing Address - Street 2:COLLEGE WOODS
Mailing Address - City:CENTRAL ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11722-4105
Mailing Address - Country:US
Mailing Address - Phone:631-348-0463
Mailing Address - Fax:631-348-4149
Practice Address - Street 1:9 CHERRY ST
Practice Address - Street 2:COLLEGE WOODS
Practice Address - City:CENTRAL ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11722-4105
Practice Address - Country:US
Practice Address - Phone:631-348-0463
Practice Address - Fax:631-348-4149
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1873174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist