Individual
GLENN WILLIAM THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1675 PROVIDENCE AVE, SCHENECTADY, NY 12309
(518) 377-3439
(518) 377-0436
Mailing address
1675 PROVIDENCE AVE, SCHENECTADY, NY 12309
(518) 377-3439
(518) 377-0436
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
251993
NY
207W00000X
Ophthalmology Physician
Primary
251993-1
NY
207W00000X
Ophthalmology Physician
4301085616
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03217085
—
NY
01
—
685B91
EMPIRE BCBS
NY
Enumeration date
05/14/2007
Last updated
07/12/2010
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