Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 302955 | NY |
NPI | 1013371590 |
---|---|
Provider Name | Dr. Alison Ilana Thaler |
First Address | New York, NY 10029-0312 |
Second Address | New York, NY 10029-0312 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2016 |
Last Update Date | 28/05/2021 |