Individual
TANGENIA M. THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30 BROAD ST FL 45, NEW YORK, NY 10004-2942
(888) 663-6331
(415) 252-7176
Mailing address
768 THIRD ST, STONE MOUNTAIN, GA 30083-3730
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
030743
NY
363AM0700X
Medical Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
07/15/2019
Last updated
03/14/2025
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