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PHITSAMAI THATVIHANE, NP-C
NP-C
Nurse Practitioner
NPI: 1669838108IndividualAccepts Medicare
Specialties, Licenses & Credentials
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
339735(NY)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Class of 2015
Contact & Hours
- Address
- 725 E ADAMS ST STE 1A
SYRACUSE, NY 13210 - Phone
- (315) 464-7842
Quick Facts
- NPI
- 1669838108
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 11
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