MEDICARE: DR. NANCY MAY THOMS PSYD

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	103TC0700X	Clinical Psychologist	017622	NY

General Provider Information

NPI Number	:	1396901070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NANCY MAY THOMS PSYD

Provider Business Mailing Address
First Line	:	119 COLES ST
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07302-1915
Country	:	US
Telephone Number	:	718-551-1949
Fax Number	:

Provider Business Practice Location Address
First Line	:	82 WALL ST
Second Line	:	SUITE 1105
City	:	NEW YORK
State	:	NY
Zip	:	10005-3601
Country	:	US
Telephone Number	:	212-509-2411
Fax Number	:

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

Provider Enumeration Date	:	08/01/2008
Last Update Date	:	08/01/2008

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