Provider Demographics
NPI:1225084494
Name:THOMAS, ALBERT G (MD, MS)
Entity type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:G
Last Name:THOMAS
Suffix:
Gender:M
Credentials:MD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7901 BROADWAY
Mailing Address - Street 2:ROOM C5-10
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-1329
Mailing Address - Country:US
Mailing Address - Phone:718-334-5366
Mailing Address - Fax:
Practice Address - Street 1:5 E 98TH ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6501
Practice Address - Country:US
Practice Address - Phone:212-241-9393
Practice Address - Fax:212-423-1238
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-26
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY160977-1207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY98526516Other1199 NBF MEMBER CHOICE
NM0558397OtherCIGNA, HMO,PPO,INDEMNITY
NY2036272OtherAETNA, HMO
NY150069OtherUHC,HMO,POS,PPO,EPO,INDEM
NY0032089OtherGHI,CBP,PPO,PREMIER PPO,F
NY43971981OtherMULTIPLAN PPO
NYNS16556OtherOXF, FREEDOM,OX MEDICARE
NY05E761OtherEMPIRE BCBS, PPO,DIRECT I
NY4C1627OtherHEALTHNET,HMO,PLATINUM PP
NY98526516OtherDEVON HEALTH
NY01015109Medicaid
NY150069OtherUHC MSNYU HEALTH TOP TIER
NY4199095OtherAETNA,PPO,POS,EPO,INDEMNI
NY000000076867OtherGHI, HMO
NY138772POtherHIP HMO,POC,ACCESS HEALTH
NY750039OtherBEECHSTREET,MEDICHOICE PP
NY98526516OtherDEVON HEALTH
NY4C1627OtherHEALTHNET,HMO,PLATINUM PP