Individual
MISS MERIN M THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5 NORTEMA CT, NEW HYDE PARK, NY 11040-2031
(847) 890-1394
Mailing address
5 NORTEMA COURT, NEW HYDE PARK, NY 11040
(847) 890-1394
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
014923
NY
Other
Enumeration date
07/22/2011
Last updated
07/22/2011
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