Individual
DR. GREGORY RAY THOMAIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
338 LAKE AVE, SAINT JAMES, NY 11780-2224
(631) 584-8100
(631) 584-9436
Mailing address
338 LAKE AVE, SAINT JAMES, NY 11780-2224
(631) 584-8100
(631) 584-9436
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
X007863
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113468347-01
PRISM (VYTRA PANEL)
NY
01
—
1824490
UNITED HEALTHCARE
NY
01
—
5898286
GHI
NY
01
—
AA50665
MDNY
NY
01
—
P-11067587
MULTIPLAN
NY
01
—
P1092926
OXFORD
NY
01
—
X4K141
EMPIRE BC/BS
NY
Enumeration date
07/20/2006
Last updated
11/27/2007
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