Provider Demographics
NPI:1548631534
Name:THOMAS, SHNEIDER RAMSON SR (REGISTERED NURSE)
Entity type:Individual
Prefix:MR
First Name:SHNEIDER
Middle Name:RAMSON
Last Name:THOMAS
Suffix:SR
Gender:M
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:472 ROUTE 304
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-3029
Mailing Address - Country:US
Mailing Address - Phone:845-499-6120
Mailing Address - Fax:
Practice Address - Street 1:472 ROUTE 304
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-3029
Practice Address - Country:US
Practice Address - Phone:845-499-6120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-15
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY323265-1164W00000X
NY785221163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No164W00000XNursing Service ProvidersLicensed Practical Nurse