Individual
JAMIE L THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
475 IRVING AVE, SUITE 200, SYRACUSE, NY 13210-1756
(315) 464-4686
(315) 464-7106
Mailing address
475 IRVING AVE, SUITE 200, SYRACUSE, NY 13210-1756
(315) 464-4686
(315) 464-7106
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
246973
NY
207Q00000X
Family Medicine Physician
2469731
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03017838
—
NY
Enumeration date
06/13/2008
Last updated
01/12/2024
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