| Thomas G Shafer, NPP-BC | |
|
350 New Campus Dr, Suny College At Brockport, Brockport, NY 15520 | |
| (585) 395-2207 | |
| Not Available |
| Full Name | Thomas G Shafer |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 350 New Campus Dr, Brockport, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205195278 | NPI | - | NPPES |
| 401602 | Other | NY | NURSE PRACTITIONER- PSYCHIATRY LICENSE NUMBER |
| 586940 | Other | NY | RN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 586940 (New York) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 401602 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas G Shafer, NPP-BC 243 Willowbrooke Dr, Brockport, NY 14420 Ph: (585) 953-6405 | Thomas G Shafer, NPP-BC 350 New Campus Dr, Suny College At Brockport, Brockport, NY 15520 Ph: (585) 395-2207 |
Nancy S Iafrati, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Suny Brockport Student Health Center, 350 New Campus Drive, Brockport, NY 14420 Phone: 585-395-2414 | |
Karyn Felice, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 170 West Ave, Brockport, NY 14420 Phone: 585-395-6052 | |
Michele Lynne Telga, WHNPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6668 4th Section Road, Brockport, NY 14420 Phone: 585-637-2670 Fax: 585-637-3678 | |
Cheryl M Van Lare, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 350 New Campus Dr, Hazen Student Health Center, Brockport, NY 14420 Phone: 585-395-2414 | |
Abigail Naomi Wilson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 362 Gilmore Rd, Brockport, NY 14420 Phone: 585-481-7215 | |
Quinn Maloney, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 350 New Campus Dr, Brockport, NY 14420 Phone: 585-395-2414 Fax: 585-395-2559 | |
Stephanie Lozada Henning, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 156 West Ave Fl 2, Brockport, NY 14420 Phone: 585-758-7557 Fax: 585-637-5626 |