Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 268875-1 | NY |
NPI | 1104196245 |
---|---|
Provider Name | Dr. Kimberley Thornton |
First Address | New York, NY 10023-8507 |
Second Address | New York, NY 10022-1009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2012 |
Last Update Date | 09/10/2018 |