Individual
MR. ERWIN DALE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3726 JUNCTION BLVD, CORONA, NY 11368-1741
(989) 278-6377
Mailing address
125 RIVERSIDE DR APT 1D, NEW YORK, NY 10024-3727
(989) 278-6377
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
292444
NY
Other
Enumeration date
10/01/2007
Last updated
07/16/2021
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