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Thomas G Shafer, NPP-BC
Psychiatric/Mental Health Nurse Practitioner in Brockport, New York
NPI 1205195278

Thomas G Shafer is a Psychiatric/Mental Health Nurse Practitioner based in Brockport, NY and is specialized in Psychiatric/Mental Health. Thomas G Shafer practices in Brockport, NY and has the professional credentials of NPP-BC. The NPI Number for Thomas G Shafer is 1205195278 and holds a License No. 586940 (New York).

The current practice location address for Thomas G Shafer is 350 New Campus Dr, Brockport, NY and can be reached out via phone at 585-395-2207.

Location: 350 New Campus Dr, Brockport, NY, 14420
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205195278
Provider Name
Thomas G Shafer
Credential
NPP-BC
Provider Entity Type
Individual
Gender
Male
Address
350 New Campus Dr, Brockport, NY, 14420
Phone Number
585-395-2207
Fax Number
Provider Enumeration Date
05/11/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
401602 01 NY NURSE PRACTITIONER- PSYCHIATRY LICENSE NUMBER
586940 01 NY RN LICENSE
institution
Provider Business Practice Location Address Details
Address
350 New Campus Dr
City
Brockport
State
New York
Zip
15520
Phone Number
585-395-2207
Fax Number
person
Provider Business Mailing Address Details
Address
350 New Campus Dr
City
Brockport
State
New York
Zip
15520
Phone Number
585-395-2207
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
163WP0808X
License No.
401602 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
586940 (New York)
Definition
Definition to come...
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