Individual provider · Type 1 NPI

Idiat Thomas

Specialist · Cambria Heights, NY

NPI number 1497177158 Active

Practice location

11527 229th St
Cambria Heights, NY 11411-1407

Call (917) 655-0996 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X811240141 (NY)
Specialist 174400000X794481131 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1497177158

Idiat Thomas's National Provider Identifier is 1497177158, issued on Jan 15, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Cambria Heights, NY. The record was last updated on Jan 15, 2014.