Individual
MOLLY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8225 263RD ST, FLORAL PARK, NY 11004-1520
(718) 343-3671
(718) 343-3671
Mailing address
8225 263RD ST, FLORAL PARK, NY 11004-1520
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
336985
NY
Other
Enumeration date
04/30/2012
Last updated
01/18/2018
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