Individual
DR. AMANDA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4727 VERNON BLVD, LONG ISLAND CITY, NY 11101-5505
(212) 226-7666
Mailing address
305 MCGUINNESS BLVD APT 1D, BROOKLYN, NY 11222-1855
(954) 309-0724
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
306684
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2017
Last updated
09/03/2020
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