Individual
DR. LILY ANNA THOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
175 W 13TH ST APT 1B, NEW YORK, NY 10011-7803
(347) 834-3771
(347) 834-3771
Mailing address
97 DOUGLASS ST APT 3, BROOKLYN, NY 11231-4774
(347) 834-3771
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
022548
NY
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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