Thomas, Lisie

Thomas, Lisie is an individual health care provider with primary practice located at 114-02 Guy R Brewer Blvd , Jamaica NY 11432-1234. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Thomas, Lisie can be contacted via phone (718) 883-6626.

Contact Information

Primary practice address
114-02 Guy R Brewer Blvd Jamaica NY 11432-1234
Phone: (718) 883-6626
Fax: (718) 883-6193
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X F420517 New York

Profile Details

NPI number 1104923671
LBN Legal business name Thomas, Lisie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2006
Last updated Jul 8th, 2007 - about 17 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 1104923671 NPPES
New York MEDICAID 00246075

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