Organization
SUPPORTIVE MEDICAL PC
Active
Organization
SUPPORTIVE MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA THOMPSON MD (OWNER)
(505) 681-8222
Entity
Organization
Contact information
Practice address
181 MALCOLM X BLVD, UNIT 2, NEW YORK, NY 10026-1364
(646) 883-2273
Mailing address
181 MALCOLM X BLVD, UNIT 2, NEW YORK, NY 10026-1364
(646) 883-2273
Taxonomy
Speciality
Code
Description
License number
State
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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