Sijo Thomas
Specialist in New Rochelle, NY. Individual provider (NPI-1).
NPI number1508301151
StatusActive
Last updated in NPPESJan 5, 2017
Details
- NPI
- 1508301151
- Entity type
- Individual (NPI-1)
- Name
- Sijo Thomas
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 5, 2017
- Last updated
- Jan 5, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
101 Wilson DrNew Rochelle, NY 10801-4601
Phone 914-632-0546
Mailing address
101 Wilson DriveNew Rochelle, NY 10801
Phone 914-632-0546
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