Individual
LISA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13525 243RD ST, ROSEDALE, NY 11422-1642
(516) 262-4087
(516) 210-2096
Mailing address
13525 243RD ST, ROSEDALE, NY 11422-1642
(516) 262-4087
(516) 210-2096
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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