Thomas, Susy B

Thomas, Susy B is an individual health care provider with primary practice located at 91-20 Atlantic Ave. , Ozone Park NY 11421. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Thomas, Susy B can be contacted via phone (718) 641-8207.

Contact Information

Primary practice address
91-20 Atlantic Ave. Ozone Park NY 11421
Fax: (718) 848-6033
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 182509 New York

Profile Details

NPI number 1568536100
LBN Legal business name Thomas, Susy B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 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 1568536100 NPPES
New York MEDICAID 01893085

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