Individual
ANGELA ALICE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
316 5TH AVE, ROOM 404, NEW YORK, NY 10001-3602
(212) 868-0946
Mailing address
839 E 45TH ST, BROOKLYN, NY 11203-5721
(718) 451-2493
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
307183
NY
Other
Enumeration date
08/07/2012
Last updated
04/24/2014
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