Individual
BROOKE THORNHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
263 JERICHO TPKE, FLORAL PARK, NY 11001-2146
(516) 365-5439
Mailing address
4 REMSEN ST, EAST NORTHPORT, NY 11731-4927
(631) 316-2329
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2023
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/07/2023
Last updated
10/01/2025
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