THOMAS D EUSTACE

Dr THOMAS D EUSTACE is a male medical professional, specializing in Psychologist, Clinical. He graduated in 1978 from Fordham University School Of Medicine.

Contact

7 FARESE WAY
AMAWALK
NY
105011201

Tel: 9149623442

THOMAS D EUSTACE Information

Npi 1356495824
Pac Id 4183899750
Professional Enrollment Id I20111209000018
Last Name EUSTACE
First Name THOMAS
Middle Name D
Suffix
Gender M
Credential
Medical School Name FORDHAM UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1978
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 7 FARESE WAY
Line 2 Street Address
Marker Of Address Line 2 Suppression
City AMAWALK
State NY
Zip Code 105011201
Phone Number 9149623442
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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