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Dr. Deslene Jackie Thomas, MD
General Practice Physician in Bronx, New York
NPI 1962086868

Deslene Jackie Thomas is a General Practice Physician based in Queens Village, NY. Deslene Jackie Thomas practices in Bronx, NY and has the professional credentials of MD. The NPI Number for Deslene Jackie Thomas is 1962086868 and holds a License No. 010554 (New York).

The current practice location address for Deslene Jackie Thomas is 2975 Independence Ave, Bronx, NY and can be reached out via phone at 718-548-1700.

Location: 2975 Independence Ave, Bronx, NY, 11427-2721
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962086868
Provider Name
Deslene Jackie Thomas
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2975 Independence Ave, Bronx, NY, 11427-2721
Phone Number
718-548-1700
Fax Number
Provider Enumeration Date
05/07/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2975 Independence Ave
City
Bronx
State
New York
Zip
10463-4620
Phone Number
718-548-1700
Fax Number
person
Provider Business Mailing Address Details
Address
2975 Independence Ave
City
Bronx
State
New York
Zip
10463-4620
Phone Number
718-548-1700
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
010554 (New York)
Definition
Definition to come...
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