Individual
CATHERINE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2333 N TRIPHAMMER RD STE 203, ITHACA, NY 14850-1075
(607) 257-1107
Mailing address
2333 N TRIPHAMMER RD STE 203, ITHACA, NY 14850-1075
(607) 257-1107
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0010-08557
NC
363A00000X
Physician Assistant
0010-08557
NC
Other
Enumeration date
04/28/2019
Last updated
04/28/2019
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