Provider Demographics
NPI:1871844761
Name:NASH, THOMAS (LAC)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:
Last Name:NASH
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:88 HIGHRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-3408
Mailing Address - Country:US
Mailing Address - Phone:914-939-8870
Mailing Address - Fax:718-356-1337
Practice Address - Street 1:88 HIGHRIDGE RD
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10804-3408
Practice Address - Country:US
Practice Address - Phone:914-939-8870
Practice Address - Fax:718-356-1337
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-02
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY25002487171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist