Pearson, Thomas Robert

Pearson, Thomas Robert is an individual health care provider with primary practice located at 201 I U Willets Rd , Albertson NY 11507-1516. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Pearson, Thomas Robert can be contacted via phone (516) 739-4900.

Contact Information

Primary practice address
201 I U Willets Rd Albertson NY 11507-1516
Fax: (516) 739-4909
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0217521 New York

Profile Details

NPI number 1225136179
LBN Legal business name Pearson, Thomas Robert
Credentials MSPT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225136179 NPPES
New York MEDICAID 00274415

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