Individual
GUAJIRA P THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
295 FLATBUSH AVENUE EXT FL 2, BROOKLYN, NY 11201-3001
(347) 396-6299
(347) 396-6367
Mailing address
4209 28TH ST # CN-48, LONG ISLAND CITY, NY 11101-4130
(347) 396-6299
(347) 396-6367
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125054700
IL
207RI0200X
Infectious Disease Physician
036133667
IL
207RI0200X
Infectious Disease Physician
Primary
290595-01
NY
Other
Enumeration date
09/15/2010
Last updated
09/30/2024
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