Individual
DR. OBIL THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
900 FRANKLIN AVE, VALLEY STREAM, NY 11580-2145
(718) 470-8000
Mailing address
900 FRANKLIN AVE, VALLEY STREAM, NY 11580-2145
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
705691
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
153118
NY
Other
Enumeration date
03/24/2025
Last updated
06/10/2025
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