MEDICARE: ALLISON THOMAS

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	104100000X	Social Worker

General Provider Information

NPI Number	:	1730534140
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON THOMAS

Provider Business Mailing Address
First Line	:	100 GREEN STREET
Second Line	:
City	:	VALLEY STREAM
State	:	NY
Zip	:	11580
Country	:	US
Telephone Number	:	516-806-7253
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 GREEN ST
Second Line	:
City	:	VALLEY STREAM
State	:	NY
Zip	:	11580-5014
Country	:	US
Telephone Number	:	516-806-7253
Fax Number	:

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

Provider Enumeration Date	:	05/04/2016
Last Update Date	:	05/04/2016

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Directions to “ ALLISON THOMAS ” Practice Location

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