Healthcare Provider Details

I. General information

NPI: 1669552477
Provider Name (Legal Business Name): THOMAS GYORGY MOLNAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8339 DANIELS ST
JAMAICA NY
11435-1208
US

IV. Provider business mailing address

40 COLONIAL PKWY
MANHASSET NY
11030-1833
US

V. Phone/Fax

Practice location:
  • Phone: 718-291-5151
  • Fax: 718-297-2311
Mailing address:
  • Phone: 516-365-2519
  • Fax: 718-297-2311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number166130
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: