Individual
MS. CANDY L. THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
352 N MOHAWK ST, COHOES, NY 12047-1320
(518) 237-2954
Mailing address
2 N POINTE APT 3S, HALFMOON, NY 12065-4326
(518) 961-8890
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
167095-01
NY
164W00000X
Licensed Practical Nurse
Primary
167095-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02404777
—
NY
05
—
1346458999
—
NY
Enumeration date
05/18/2007
Last updated
06/25/2020
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