Thomas, Suja M.

Thomas, Suja M. is an individual health care provider with primary practice located at 180-05 Hillside Ave , Jamaica NY 11432. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Thomas, Suja M. can be contacted via phone (718) 526-6300.

Contact Information

Primary practice address
180-05 Hillside Ave Jamaica NY 11432
Phone: (718) 526-6300
Fax: (718) 262-7064
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F304357 New York

Profile Details

NPI number 1558421487
LBN Legal business name Thomas, Suja M.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Oct 1st, 2019 - about 7 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 1558421487 NPPES
New York MEDICAID 02871736

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