MEDICARE: MS. HAZEL ALLISON THOMAS RD

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	133V00000X	Registered Dietitian	716482	IL

General Provider Information

NPI Number	:	1740307537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. HAZEL ALLISON THOMAS RD

Provider Business Mailing Address
First Line	:	11022 198TH ST
Second Line	:
City	:	SAINT ALBANS
State	:	NY
Zip	:	11412-1722
Country	:	US
Telephone Number	:	718-465-0021
Fax Number	:

Provider Business Practice Location Address
First Line	:	5018 AVENUE D
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11203-5906
Country	:	US
Telephone Number	:	718-451-2800
Fax Number	:	718-451-2804

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

Provider Enumeration Date	:	03/25/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1427103241 — SHARON DANE OGISTE-MCBAIN M.D.
Practice Location Address:

5018 AVENUE D
BROOKLYN, NY
11203-5906

Practice Phone: 718-451-2800
Practice Fax: 718-451-2804

1740521590 — ROBERTO DESIRAL
Practice Location Address:

5008 AVENUE D
BROOKLYN, NY
11203-5906

Practice Phone: 718-576-6950
Practice Fax: 718-576-6955

1336164540 — DR. FREDERICK ELLIS JAFFE M.D.
Practice Location Address:

1302 AVENUE N
BROOKLYN, NY
11230-5906

Practice Phone: 718-375-8659
Practice Fax: 718-375-8659

1487741120 — DR. BASEL ALHADDAD M.D.
Practice Location Address:

466 BAY RIDGE AVE
BROOKLYN, NY
11220-5906

Practice Phone: 718-491-2003
Practice Fax: 718-491-2007

1811208176 — MARCIA YOUNG
Practice Location Address:

400 FENIMORE ST
BROOKLYN, NY
11225-5906

Practice Phone: 917-692-5907
Practice Fax:

1174819353 — RAMSEY H JOUDEH M.D.
Practice Location Address:

466 BAY RIDGE AVE
BROOKLYN, NY
11220-5906

Practice Phone: 718-491-2003
Practice Fax: 718-491-2007

Directions to “ MS. HAZEL ALLISON THOMAS RD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.