Individual
CAROLYN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23218 MERRICK BLVD, LAURELTON, NY 11413-2115
(718) 528-3432
Mailing address
260 HERKIMER ST, BROOKLYN, NY 11216-2619
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
300884
NY
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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