Individual
JOEL DOUGLAS THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNIM
Contact information
Practice address
1991 MARCUS AVE, SUITE 108, LAKE SUCCESS, NY 11042
(516) 442-2250
(516) 442-2251
Mailing address
1991 MARCUS AVE, SUITE 108, LAKE SUCCESS, NY 11042
(516) 442-2250
(516) 442-2251
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
1980
IL
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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