Provider Demographics
NPI:1053478735
Name:THOMAS, OSWALD ROWEN (PHD, CHT)
Entity Type:Individual
Prefix:DR
First Name:OSWALD
Middle Name:ROWEN
Last Name:THOMAS
Suffix:
Gender:M
Credentials:PHD, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:933 E 221ST ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-1015
Mailing Address - Country:US
Mailing Address - Phone:718-670-7274
Mailing Address - Fax:718-994-7572
Practice Address - Street 1:12 W 122ND ST
Practice Address - Street 2:SUITE 1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-5624
Practice Address - Country:US
Practice Address - Phone:646-258-5702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor