Doctor Name: | DIANNE GUARNERA THOMSON |
NPI Number: | 1003847377 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | 010734 |
Business Practice Address: | 45 Reade Pl Vassar Brothers Medical Center Poughkeepsie, NY - 126013947 |
Business Phone Number: | 8454548500 |
Business Fax Number: | 8454836108 |
Mailing Address: | 169 Myers Corners Rd Ste 250, Hudson Valley Radiologists, Pc WAPPINGERS FALLS |
State: | NY |
Postal Code: | 125903868 |
Phone Number: | 8457905700 |
Fax Number: | 8457905719 |
NPI Enumeration Date: | 07/05/2006 |
NPI Last Update Date: | 03/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 010734 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |