Search › New York › 363AS0400X
Justin Thach, PA
NPI 1558558395 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1217 119th St
College Point, NY 11356 - Phone
- (646) 898-7446
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-12-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York