Individual
THOMAS OBRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1199 PARK AVE APT 1C, NEW YORK, NY 10128-1712
(917) 209-3864
Mailing address
3107 31ST AVE APT 3A, ASTORIA, NY 11106-2406
(347) 576-9428
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
802916
NY
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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