Individual
MR. MATHEW P THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
97 HOBART AVE, PORT CHESTER, NY 10573-2711
(914) 207-4363
Mailing address
97 HOBART AVE, PORT CHESTER, NY 10573-2711
(914) 207-4363
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F352470-01
NY
363LF0000X
Family Nurse Practitioner
F352470-01
NY
Other
Enumeration date
02/03/2025
Last updated
02/14/2025
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