Individual
ANTHONY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PEER SPECIALIST
Contact information
Practice address
14202 20TH AVE, FLUSHING, NY 11351-3000
(347) 924-3607
Mailing address
14202 20TH AVE, FLUSHING, NY 11351-3000
(347) 924-3607
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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