Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 35085130 | OH |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 254320 | NY |
NPI | 1154580785 |
---|---|
Provider Name | Dr. George Thomas |
First Address | New York, NY 10021-9800 |
Second Address | New York, NY 10021-9800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2008 |
Last Update Date | 26/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
254320 | LICENSE # (01) | NY |
35085130 | OH MEDICAL LIC # (01) | OH |