Individual
CORDIAL THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
36 RUXTON ST, NEW HYDE PARK, NY 11040-1317
(516) 739-6150
Mailing address
36 RUXTON ST, NEW HYDE PARK, NY 11040-1317
(516) 739-6150
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
476356-1
NY
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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