Provider Demographics
NPI:1922232321
Name:LEMME, THOMAS (PA-C)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:
Last Name:LEMME
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:337 YALE RD
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-5223
Mailing Address - Country:US
Mailing Address - Phone:516-857-6624
Mailing Address - Fax:516-673-0611
Practice Address - Street 1:337 YALE RD
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-5223
Practice Address - Country:US
Practice Address - Phone:516-857-6624
Practice Address - Fax:516-673-0611
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-13
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002512363A00000X
PAMA051588363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical