Individual
SAVANNA THOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
450 CLARKSON AVE # MSC1196, BROOKLYN, NY 11203-2012
(718) 270-4772
Mailing address
450 CLARKSON AVE # MSC1196, BROOKLYN, NY 11203-2012
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OTO13136
PA
207RG0100X
Gastroenterology Physician
Primary
280325
NY
390200000X
Student in an Organized Health Care Education/Training Program
OT013136
PA
Other
Enumeration date
06/11/2010
Last updated
05/07/2024
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