Individual ProviderThomas James HanlonStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice AddressOne Gustave L. Levy Place, Department Of Medicine Box #1118, New York, NY 10029(845) 216-2418PECOS EnrollmentBased on the most recent information from CMS, provider Thomas James Hanlon does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1396449740Provider TypeIndividualFull NameHanlon, Thomas JamesCredentialMDGenderMaleSole ProprietorYesEnumeration Date3/29/2023Last Updated3/29/2023Contact InformationPractice LocationPractice AddressOne Gustave L. Levy Place, Department Of Medicine Box #1118, New York, NY 10029Phone(845) 216-2418FaxUnlisted FaxMailing LocationMailing Address1 Gustave L Levy Pl Dept Of, New York, NY 10029-6504PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer