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Mia Thornton
NPI 1700342995 · on the registry since 2019
Practice
- Address
- 262 Woodward Ave
Kenmore, NY 14217 - Phone
- (716) 842-0440
- Fax
- (716) 842-4069
- Clinicians at this address
- 28
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-02-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York