Thadathil, Jimmy T

Thadathil, Jimmy T is an individual health care provider with primary practice located at 7715 250Th St , Bellerose NY 11426-2621. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Thadathil, Jimmy T can be contacted via phone (917) 421-2494.

Contact Information

Primary practice address
7715 250Th St Bellerose NY 11426-2621
Phone: (917) 421-2494
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 052031 New York

Profile Details

NPI number 1407178353
LBN Legal business name Thadathil, Jimmy T
Credentials PHARM.D
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2010
Last updated Feb 19th, 2010 - about 16 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 1407178353 NPPES
New York MEDICAID THAD7777

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