Organization
THOMAS F. JAN D.O., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS F. JAN D.O (PRESIDENT)
(516) 541-1064
Entity
Organization
Contact information
Practice address
4200 SUNRISE HWY, MASSAPEQUA, NY 11758-5311
(516) 541-1064
(516) 798-9070
Mailing address
4200 SUNRISE HWY, MASSAPEQUA, NY 11758-5311
(516) 541-1064
(516) 798-9070
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
204322-1
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
204322-1
NY
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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