Individual
GRACE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
529 WATKINS DR, MINEOLA, NY 11501-1011
(516) 637-7743
Mailing address
529 WATKINS DR, MINEOLA, NY 11501-1011
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F407956-01
NY
Other
Enumeration date
02/06/2026
Last updated
02/06/2026
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