Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 169646-1 | NY |
NPI | 1003847534 |
---|---|
Provider Name | Dr. Joan E Thornton |
First Address | Atlanta, GA 30353-5770 |
Second Address | Syracuse, NY 13203-1807 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 24/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01144921 | (05) | NY |
E15621 | (02) | NY |