Individual
DR. JUSTIN MICHAEL THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
270 E MAIN ST, BAY SHORE, NY 11706-8420
(631) 591-7470
Mailing address
270 E MAIN ST, BAY SHORE, NY 11706-8420
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
269856
NY
Other
Enumeration date
03/18/2013
Last updated
04/12/2018
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