Individual
JYOTHI THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7925 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427-2128
(718) 264-4050
Mailing address
2509 4TH AVE # A, EAST MEADOW, NY 11554-3302
(516) 754-8381
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
83165001
NY
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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