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General NPI Number Information
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NPI Number | 1487830121
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Entity Type | Organization
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Legal Business Name | RAYMOND M. THOMAS M.D., P.C.
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Dates
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Enumeration Date | 01/11/2008
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Last Update Date | 01/11/2008
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Provider Practice Location Address
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Address Line | 199 PARRISH ST
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City | CANANDAIGUA
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State | NY
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Zip | 14424-1726
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Country | US
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Telephone | 585-394-2520
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Fax | 585-394-2524
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Provider Business Mailing Address
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Address Line | 199 PARRISH ST
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City | CANANDAIGUA
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State | NY
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Zip | 14424-1726
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Country | US
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Telephone | 585-394-2520
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Fax | 585-394-2524
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. BETH B. THOMAS
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Credential |
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Telephone | 585-394-2520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 199521
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License Number State | NY
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