Individual
ANDREA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16216 UNION TPKE STE 303, FRESH MEADOWS, NY 11366-1960
(718) 264-7250
Mailing address
16216 UNION TPKE STE 303, FRESH MEADOWS, NY 11366-1960
(718) 949-6946
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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