Individual
MRS. MORGAN PETTY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
206 E JERICHO TPKE, HUNTINGTON STATION, NY 11746-7330
(631) 847-0200
Mailing address
303 MAIN ST APT 314, HEMPSTEAD, NY 11550-1497
(914) 469-6525
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
016493
NY
363AS0400X
Surgical Physician Assistant
PA030595
DC
Other
Enumeration date
06/01/2009
Last updated
09/05/2013
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