Individual
ANGELENE THOMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17514 139TH RD, JAMAICA, NY 11434-4536
(646) 258-2508
(646) 258-2508
Mailing address
17514 139TH RD, JAMAICA, NY 11434-4536
(646) 258-2508
(646) 258-2508
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
834217
NY
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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