Thomas, Odette

Thomas, Odette is an individual health care provider with primary practice located at 259 1St St , Mineola NY 11501-3957. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as her primary health care specialty. Thomas, Odette can be contacted via phone (516) 663-8963.

Contact Information

Primary practice address
259 1St St Mineola NY 11501-3957
Phone: (516) 663-8963
Fax: (516) 663-8964
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 062614 Georgia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 264712 New York

Profile Details

NPI number 1235385576
LBN Legal business name Thomas, Odette
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2008
Last updated Feb 1st, 2017 - about 8 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 1235385576 NPPES
Georgia MEDICAID 752272394A

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