Provider Demographics
NPI:1194581124
Name:THOMAS, SALOMI SUDHARMA
Entity type:Individual
Prefix:MRS
First Name:SALOMI
Middle Name:SUDHARMA
Last Name:THOMAS
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 1:12 ROYAL WAY
Mailing Address - Street 2:
Mailing Address - City:MANHASSET HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11040-1216
Mailing Address - Country:US
Mailing Address - Phone:516-509-0505
Mailing Address - Fax:
Practice Address - Street 1:12 ROYAL WAY
Practice Address - Street 2:
Practice Address - City:MANHASSET HILLS
Practice Address - State:NY
Practice Address - Zip Code:11040-1216
Practice Address - Country:US
Practice Address - Phone:516-627-6058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist