Facelle, Thomas

Facelle, Thomas is an individual health care provider with primary practice located at 257 Lafayette Ave Suite 200, Suffern NY 10901-4830. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Facelle, Thomas can be contacted via phone (845) 369-8800.

Contact Information

Primary practice address
257 Lafayette Ave Suite 200 Suffern NY 10901-4830
Phone: (845) 369-8800
Fax: (845) 357-0086
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 145054 New York

Profile Details

NPI number 1992801344
LBN Legal business name Facelle, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Nov 7th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992801344 NPPES
Other 089D611 EMPIRE BLUE CROSS
Other 08647 EMPIRE BLUE CROSS
Other 0D3802 EMPIRE BLUE CROSS
Other 145054 EMPIRE BLUE CROSS
Other 4096594 EMPIRE BLUE CROSS
Other RS363 EMPIRE BLUE CROSS
Other 0002459 EMPIRE BLUE CROSS
MEDICAID 01015883 EMPIRE BLUE CROSS
Other 0095911 EMPIRE BLUE CROSS

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