Individual
TOMMY JAMES MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 963-8000
Mailing address
9016 155TH ST, JAMAICA, NY 11432-3827
(347) 724-3889
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
012313
NY
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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