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1881004984
KELLY THORSON
STATEN ISLAND, NY
NPI
1881004984
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 019058)
Enumeration Date
2014-04-29
Last Update Date
2023-06-06
Business Address
KELLY THORSON PA
1050 CLOVE RD
STATEN ISLAND, NY 10301-3627
Phone number: 718-816-6440
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Mailing Address
KELLY THORSON PA
411 9TH AVE ACPNY - CREDENTIALING 3RD FLOOR
NEW YORK, NY 10001-1602
Phone number: 646-680-2894
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STATEN ISLAND UNIVERSITY HOSPITAL PHYSICIAN ASSISTANT SURGICAL GROUP