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Individual

DR. THOMAS YOUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
55 E 86TH ST # 1A, NEW YORK, NY 10028-1059
(212) 348-3636
(212) 410-3338
Mailing address
55 E 86TH ST # 1A, NEW YORK, NY 10028-1059
(212) 348-3636
(212) 410-3338

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
219451
NY
332B00000X
Durable Medical Equipment & Medical Supplies
219451
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00700189
RR MCR
NY
Enumeration date
10/02/2005
Last updated
11/08/2024
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