Individual
MERCY PRINCE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
48 LIBERTY AVE, MINEOLA, NY 11501-3420
(786) 325-1605
Mailing address
48 LIBERTY AVE, MINEOLA, NY 11501-3420
(786) 325-1603
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F309369
NY
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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