Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | 005015 | NY |
NPI | 1821362062 |
---|---|
Provider Name | Dr. Pierre Hinrich Thoden |
First Address | Elmont, NY 11003-3219 |
Second Address | Elmont, NY 11003-3219 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2012 |
Last Update Date | 06/03/2012 |