Idiat Thomas
NPI #1497177158 in Cambria Heights, New York
Provider Information
- NPI Number
- 1497177158
- Entity Type
- Individual
- Name
- Idiat Thomas
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Jan 15, 2014
- Last Updated
- Jan 15, 2014
Practice Location
- Address
- 11527 229TH ST
- City
- Cambria Heights
- State
- New York
- ZIP Code
- 11411-1407
- Phone
- (917) 655-0996
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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