Jannine Marie Thorp RPA-C

NPI 1366562365 - Physician Assistant - 363AS0400X

NPI Details
NPI 1366562365
Gender Female
Enumeration Date 03/31/2007
Last Updated 03/31/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
301 EAST MAIN ST
SOUTHSIDE HOSPITAL
BAY SHORE NY, 11706, US
Phone (613) 968-3525
Fax (631) 968-3022
Business Location
301 EAST MAIN ST
SOUTHSIDE HOSPITAL
BAY SHORE NY, 11706, US
Phone (613) 968-3525
Fax (631) 968-3022
Toxanomy
Taxonomy Code 363AS0400X
License State New York
License Number 010736
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According to our database, Mrs. Jannine Marie Thorp RPA-C NPI is 1366562365, taxonomy code is 363AS0400X and license number is 010736, license state is located at New York. Jannine Marie Thorp RPA-C physically located at 301 East Main St, Bay Shore NY, 11706. NPI Number Jannine Marie Thorp RPA-C has the Individual type.

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1366562365 NPI number is provided on an as is basis without warranty of any kind. 1366562365 is maintained by the National Plan & Provider Enumeration System. The contents of Jannine Marie Thorp RPA-C are for informational purposes only.