Individual
RYAN C THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9921 216TH ST, QUEENS VILLAGE, NY 11429-1122
(646) 806-1098
Mailing address
9921 216TH ST, QUEENS VILLAGE, NY 11429-1122
(646) 806-1098
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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