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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508929563 | NPPES |
| New York | MEDICAID | 02778650 | |
| New York | Other | 9255XK |
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