Individual
THOMAS N THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
196 NORTH ST, GENEVA, NY 14456-1651
(315) 787-4481
(315) 787-5391
Mailing address
908 NIAGARA FALLS BLVD, SUTIE 208, NORTH TONAWANDA, NY 14120-2019
(716) 692-2160
(716) 213-0935
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
174440
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01206633
—
NY
01
—
300136190
RR MEDICARE
NY
Enumeration date
03/31/2006
Last updated
03/14/2014
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