Organization
THOMAS M. MAURI, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS MICHAEL MAURI M.D. (PRESIDENT)
(516) 918-6300
Entity
Organization
Contact information
Practice address
865 NORTHERN BLVD, 203, GREAT NECK, NY 11021-5310
(516) 918-6300
(516) 918-6363
Mailing address
865 NORTHERN BLVD, 203, GREAT NECK, NY 11021-5310
(516) 918-6300
(516) 918-6363
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
148905 3
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598739989
PROVIDER NPI
NY
Enumeration date
12/06/2007
Last updated
12/27/2007
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