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Individual

C SCOTT THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1100 LONG POND ROAD, SUITE 250, ROCHESTER, NY 14626
(585) 368-4350
(585) 227-7324
Mailing address
1100 LONG POND ROAD, SUITE 250, ROCHESTER, NY 14626
(585) 368-4350
(585) 227-7324

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
218959
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000526512003
HEALTH NOW
05
02115915
NY
01
110376BF
PREFERRED CARE
01
2189595WOPCFP
WORKERS COMP
01
5996336
GHI
01
7575367
AETNA
Enumeration date
06/27/2006
Last updated
07/08/2007
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