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1104923671
LISIE THOMAS
JAMAICA, NY
NPI
1104923671
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: NY F420517)
Enumeration Date
2006-09-19
Last Update Date
2007-07-08
Business Address
Ms. LISIE THOMAS NP
114-02 GUY R BREWER BLVD
JAMAICA, NY 11432-1234
Phone number: 718-883-6626
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Mailing Address
Ms. LISIE THOMAS NP
79-01 BROADWAY D1-01
ELMHURST, NY 11373-1329
Phone number: 718-334-1920
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