Organization
MARY J THOMAS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS JOHN (OFFICE MANAGER)
(631) 486-0026
Entity
Organization
Contact information
Practice address
356 VETERANS MEMORIAL HIGHWAY, SUITE 6, COMMACK, NY 11725-4343
(631) 486-0026
Mailing address
422 CLAY PITTS RD, EAST NORTHPORT, NY 11731-3818
(631) 486-0026
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
226321
NY
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
226321
NY
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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