Individual
MRS. SUSAN MARILYN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1795 LEXINGTON AVE, NEW YORK, NY 10029-2866
(212) 289-1788
Mailing address
1275 E 51ST ST APT 3X, BROOKLYN, NY 11234-2233
(718) 763-5289
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400918-1
NY
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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