Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 217933-1 | NY |
NPI | 1003998667 |
---|---|
Provider Name | Dr. Laura Beth Thomas |
First Address | Cincinnati, OH 45263-0042 |
Second Address | Yonkers, NY 10701-1301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I17380 | (02) | NY |