Individual
MS. ANGELA YVONNE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3584 JEROME AVE, BRONX, NY 10467-1006
(718) 653-1537
Mailing address
79 GLENRIDGE RD, GLENVILLE, NY 12302-4523
(917) 690-6059
(347) 275-8226
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
342852
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404124
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01420795
—
NY
Enumeration date
03/21/2018
Last updated
09/08/2023
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