Individual
MARK THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC, PT, DPT
Contact information
Practice address
119 W 57TH ST STE 600, NEW YORK, NY 10019-2305
(212) 974-7240
Mailing address
145 W 57TH ST FL 10, NEW YORK, NY 10019-2220
(212) 974-7240
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
001044
NY
225100000X
Physical Therapist
011079
NY
Other
Enumeration date
03/17/2016
Last updated
07/23/2019
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