Individual
DR. JILL B THOMPSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
847A FORT SALONGA RD, NORTHPORT, NY 11768-2252
(631) 754-4200
(631) 754-4414
Mailing address
50 MAKAMAH BEACH RD, NORTHPORT, NY 11768-1339
(631) 754-4200
(631) 754-4414
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
209825
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02127773
—
NY
Enumeration date
02/15/2006
Last updated
07/08/2007
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