Individual
ANNIE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1315 GLOBE AVE, ELMONT, NY 11003-2622
(516) 234-1934
Mailing address
1315 GLOBE AVE, ELMONT, NY 11003-2622
(516) 234-1934
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
879922
NY
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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