THOMAS P LEQUERIQUE

BRONX, NY
NPI1437299310
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  007024)
Enumeration Date2007-02-08
Last Update Date2007-07-08
Business Address
THOMAS P LEQUERIQUE PA
MMC - DEPT. OF MEDICINE 111 EAST 210TH STREET
BRONX, NY 10467
Phone number: 718-920-2961
Mailing Address
THOMAS P LEQUERIQUE PA
12 BREWSTER RD
MASSAPEQUA, NY 11758-8018
Phone number: 718-920-2961