MEDICARE: JEAN FRANCOIS MAX THOMAS M.D.

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	207W00000X	Ophthalmology Physician	150833	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	:	1962424614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEAN FRANCOIS MAX THOMAS M.D.

Provider Business Mailing Address
First Line	:	502 LONGACRE AVE
Second Line	:
City	:	WOODMERE
State	:	NY
Zip	:	11598-2308
Country	:	US
Telephone Number	:	718-421-6175
Fax Number	:	718-421-6175

Provider Business Practice Location Address
First Line	:	1437 FLATBUSH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-2330
Country	:	US
Telephone Number	:	718-421-6175
Fax Number	:	718-421-6175

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

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	07/08/2007

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