National Provider Identifier

Thomas Eberhardt, LPN

Thomas Eberhardt, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 446-3124.

NPI 1558908228Buffalo, NYLicensed Practical Nurse

Profile Overview

NPI
1558908228
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
December 02, 2019
Last Updated
December 02, 2019

Practice Location

  • 140 Straley Ave
  • Buffalo, NY 14211-2832

Phone: (716) 446-3124

Mailing Address

  • 3842 Harlem RD
  • Suite 400 - 150
  • Buffalo, NY 14215

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1558908228
Entity Type
Individual
Last Name
Eberhardt
First Name
Thomas
Credential
LPN
Mailing Street Address
3842 Harlem RD
Mailing Address Line 2
Suite 400 - 150
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215
Mailing Country
US
Mailing Phone
(716) 256-9127
Practice Street Address
140 Straley Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14211-2832
Practice Country
US
Practice Phone
(716) 446-3124
Enumeration Date
December 02, 2019
Last Updated
December 02, 2019
Sex
Male
Sole Proprietor
Yes
Taxonomy Group 1
193200000X Multi-Specialty Group
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)