Individual
DANIELLE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
515 AUDUBON AVE STE 206, NEW YORK, NY 10040-3403
(718) 614-7689
Mailing address
515 AUDUBON AVE STE 206, NEW YORK, NY 10040-3403
(718) 614-7689
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
643497
NY
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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