MEDICARE: JARON KRAIG THOMAS AU.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	003036	NY

General Provider Information

NPI Number	:	1154095610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JARON KRAIG THOMAS AU.D.

Provider Business Mailing Address
First Line	:	11400 N JOG RD
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-1756
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	214 ATLANTIC AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-5781
Country	:	US
Telephone Number	:	347-223-5448
Fax Number	:	347-410-6125

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/06/2021
Last Update Date	:	08/06/2021

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