Thomas, Nicole

Thomas, Nicole is an individual health care provider with primary practice located at 96-10 Metropolitan Avenue , Forest Hills NY 11375-6625. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Thomas, Nicole can be contacted via phone (718) 459-0400.

Contact Information

Primary practice address
96-10 Metropolitan Avenue Forest Hills NY 11375-6625
Phone: (718) 459-0400
Fax: (718) 286-3863
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 238628 New York

Profile Details

NPI number 1508929563
LBN Legal business name Thomas, Nicole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Oct 1st, 2019 - about 5 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 1508929563 NPPES
New York MEDICAID 02778650
New York Other 9255XK

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