Michael Jason Tom, RT

Individual provider Vascular-Interventional Technology Radiologic Technologist · NPI 1346860368

Michael Jason Tom, RT is a Vascular-Interventional Technology Radiologic Technologist in Long Island City, New York. Licensed in New York. Registered with an NPI since 2020.

Licensed in: NY
In the registry since: 2020

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Practice location Address checks out

2510 30th Ave
Long Island City, NY 11102-2418
Phone: (718) 267-4255

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Specialties & licences

Vascular-Interventional Technology Radiologic Technologist (primary)	Taxonomy 2471V0106X · Licence 012069 (NY)

Record details

NPI number	1346860368
Entity type	Individual (Type 1)
Gender	Male
Credentials	RT
Sole proprietor	No
NPI enumerated	April 20, 2020
Last updated in NPPES	April 20, 2020
Certification date	April 20, 2020
Mailing address	2510 30th Ave, Long Island City, NY 11102-2418