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Thomas Shafer, NPP-BC

NPI 1205195278 · on the registry since 2012 · sole proprietor

Practice

Address
350 New Campus Dr
Suny College At Brockport
Brockport, NY 15520
Phone
(585) 395-2207
Organisation at this address
State University Of New York College At Brockport
Inferred from a shared address, not stated in the registry.
Clinicians at this address
22

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Also registered as
163WP0808X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-10-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York