Individual
MR. CHRISTMAS JERREL THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
1249 5TH AVE, NEW YORK, NY 10029-4413
(212) 360-3949
Mailing address
119 ASHFORD ST, BROOKLYN, NY 11207-2719
(718) 864-8415
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
011583-1
NY
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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