Individual
MATTHEW ROBERT THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
355 BARD AVE, STATEN ISLAND, NY 10310-1699
(718) 818-1234
Mailing address
186 NASSAU AVE APT 2L, BROOKLYN, NY 11222-4179
(443) 761-1260
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101270117
VA
207P00000X
Emergency Medicine Physician
Primary
306412
NY
Other
Enumeration date
04/10/2017
Last updated
05/11/2022
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