Individual
MARY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2330 UNION BLVD, ISLIP, NY 11751-3103
(631) 277-8900
(631) 277-0298
Mailing address
2330 UNION BLVD, ISLIP, NY 11751-3103
(631) 277-8900
(631) 277-0298
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
006184
NY
Other
Enumeration date
04/12/2007
Last updated
11/27/2007
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