Provider Demographics
NPI:1497067425
Name:TOMAS, LINDA C
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:C
Last Name:TOMAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1785 215TH ST
Mailing Address - Street 2:APT 8N
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11360-1727
Mailing Address - Country:US
Mailing Address - Phone:718-631-9022
Mailing Address - Fax:
Practice Address - Street 1:1785 215TH ST
Practice Address - Street 2:APT 8N
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11360-1727
Practice Address - Country:US
Practice Address - Phone:718-631-9022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-07
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002156-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist