MEDICARE: DR. NANETTE LAURIE ALEXANDER-THOMAS MD

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	207RR0500X	Rheumatology Physician	173779	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760483655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NANETTE LAURIE ALEXANDER-THOMAS MD

Provider Business Mailing Address
First Line	:	1 BROOKDALE PLZ STE 200
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11212-3198
Country	:	US
Telephone Number	:	718-240-7143
Fax Number	:	718-240-5808

Provider Business Practice Location Address
First Line	:	1235 LINDEN BLVD
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11212-2438
Country	:	US
Telephone Number	:	718-240-5071
Fax Number	:

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

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	04/28/2020

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