Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor |
NPI | 1003296799 |
---|---|
Provider Name | Yasmeen Thomas |
First Address | Long Island City, NY 11101-2221 |
Second Address | Long Island City, NY 11101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2015 |
Last Update Date | 08/06/2015 |