Individual
DR. EDWIN EUGENE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
21435 42ND AVE, 3RD FLOOR, BAYSIDE, NY 11361-2917
(718) 229-4868
(718) 229-4993
Mailing address
21435 42ND AVE, 3RD FLOOR, BAYSIDE, NY 11361-2917
(718) 229-4868
(718) 229-4993
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X011677
NY
Other
Enumeration date
06/23/2009
Last updated
07/20/2010
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