# MARY J THOMAS MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972857803
- **Authorized official:** MR. THOMAS JOHN (OFFICE MANAGER)
- **Authorized official phone:** (631) 486-0026

## Contact information

- **Practice address:** 356 VETERANS MEMORIAL HIGHWAY, SUITE 6, COMMACK, NY 11725-4343
- **Practice address phone:** (631) 486-0026
- **Mailing address:** 422 CLAY PITTS RD, EAST NORTHPORT, NY 11731-3818
- **Mailing address phone:** (631) 486-0026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | 226321 | NY | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 226321 | NY | Yes |

## Other

- **Enumeration date:** 10/30/2012
- **Last updated:** 10/30/2012
