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Sander Thervil
NPI 1245152370 · on the registry since 2026 · sole proprietor
Practice
- Address
- 272 Hallock Rd
Stony Brook, NY 11790 - Phone
- (631) 882-1037
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-29
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