| Doctor Name: | MRS. SHANTHIE ELIZABETH KOSHY-THOMAS |
| NPI Number: | 1366616013 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RPA-C |
| License Number: | 012365 |
| Business Practice Address: | 160 N Midland Ave Breast & Women's Health Prevention Services Nyack, NY - 109601912 |
| Business Phone Number: | 8453488507 |
| Business Fax Number: | 8453486708 |
| Mailing Address: | 160 N Midland Ave, Breast & Women's Health Prevention Services NYACK |
| State: | NY |
| Postal Code: | 109601912 |
| Phone Number: | 8453488507 |
| Fax Number: | 8453486708 |
| NPI Enumeration Date: | 04/14/2008 |
| NPI Last Update Date: | 06/05/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 012365 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |