Most Relevant Information
Provider Data
| NPI Number: | 1003647967 |
| Provider Name: | THOMAS JOHN PAPATHOMAS LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 088746 |
Most Important Dates
| Enumeration Date: | 08/12/2024 |
| Last Updated: | 08/12/2024 |
Provider Practice Location
110 MAIN ST # 5
MINEOLA
NY
115014000
Practice Location Phone/Fax
| Phone: | 5167294746 |
| Fax: |
Provider Mailing Location
104 ATLANTIC AVE APT 14
LYNBROOK
NY
115633454
Provider Mailing Phone/Fax
| Phone: | 5167294746 |
| Fax: |