Search › New York › 363A00000X

Shanise Thomas

NPI 1023647013 · on the registry since 2020

Practice

Address
16 Brentwood Dr Ste A
Ithaca, NY 14850
Phone
(607) 272-7000
Organisation at this address
Cayuga Physician Practice Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
28

Additional practice sites

  • 108 Sapsucker Woods Rd Apt 2a, Ithaca, NY

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-11-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York