Individual
JAMAAL MICHAEL THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 E 77TH ST, NEW YORK, NY 10075-1850
(212) 434-3160
Mailing address
936 E 45TH ST, BROOKLYN, NY 11203-6512
(347) 381-9322
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310675
NY
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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