Individual
DR. JEFFREY KARL THOMAIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., A.T.,C.
Contact information
Practice address
338 LAKE AVE, SAINT JAMES, NY 11780-2224
(631) 584-8100
(631) 584-9436
Mailing address
338 LAKE AVE, SAINT JAMES, NY 11780-2224
(631) 584-8100
(631) 584-9436
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009503
NY
2255A2300X
Athletic Trainer
000623-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
825722
ACN GROUP
NY
01
—
P2686248
OXFORD
NY
01
—
X009503
HIP
NY
Enumeration date
11/27/2007
Last updated
12/08/2007
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