Individual
DR. JERRY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
150 EILEEN WAY UNIT 1, SYOSSET, NY 11791-5313
(516) 855-5255
Mailing address
1175 MONTAUK HWY STE 6, WEST ISLIP, NY 11795-4939
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
292319-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2014
Last updated
07/06/2020
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