Provider Demographics
NPI:1245676758
Name:THORNTON, PATRICIA MARIE (RN)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:MARIE
Last Name:THORNTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Mailing Address - Street 1:56 LOIS DR
Mailing Address - Street 2:
Mailing Address - City:PEARL RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:10965-2934
Mailing Address - Country:US
Mailing Address - Phone:845-735-3780
Mailing Address - Fax:845-627-3625
Practice Address - Street 1:601 W 26TH ST
Practice Address - Street 2:SUITE 522
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-1101
Practice Address - Country:US
Practice Address - Phone:212-268-5999
Practice Address - Fax:212-268-7667
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-13
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY375425-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse