Individual
MERRY E. THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
110 E 55TH ST, NEW YORK, NY 10022-4540
(212) 283-3000
Mailing address
4 FLINTLOCK RIDGE RD, KATONAH, NY 10536-2508
(914) 671-3134
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
017766
NY
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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