Individual
JOHANNE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 BROOKDALE PLAZA, RM 727CHC,, BROOKLYN, NY 11212
(718) 240-5353
(718) 240-6896
Mailing address
1 BROOKDALE PLAZA, BROOKLYN, NY 11212
(718) 240-5353
(718) 240-6896
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
227480
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02389733
—
NY
Enumeration date
06/14/2006
Last updated
04/22/2013
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