Individual ProviderMavis ThomasNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address451 Clarkson Ave, D2s, Brooklyn, NY 11203-2054(718) 245-7157PECOS EnrollmentBased on the most recent information from CMS, provider Mavis Thomas 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 2 days ago.Profile DetailsProvider ID1548566821Provider TypeIndividualFull NameThomas, MavisTitleMrs.CredentialFNPGenderFemaleSole ProprietorNoEnumeration Date2/2/2011Last Updated2/2/2011Contact InformationPractice LocationPractice Address451 Clarkson Ave, D2s, Brooklyn, NY 11203-2054Phone(718) 245-7157Fax(718) 613-8015Mailing LocationMailing Address451 Clarkson Ave, D2s, Brooklyn, NY 11203-2054Phone(718) 245-7157Fax(718) 613-8015Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseF335719-1New York