Individual
MR. BRIAN NEAL THOMASEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N. PMHNP
Contact information
Practice address
750 TILDEN ST, BRONX, NY 10467-6013
(718) 231-3400
Mailing address
44 ROLLING HILL GRN, STATEN ISLAND, NY 10312-1809
(718) 619-1757
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
675359
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401943
NY
Other
Enumeration date
10/26/2015
Last updated
11/04/2015
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