Individual
ROBERT B THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3962 STATE ROUTE 9, PLATTSBURGH, NY 12901-8538
(518) 561-9609
Mailing address
3962 STATE ROUTE 9, PLATTSBURGH, NY 12901-8538
(518) 561-9609
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
160381-1
NY
207QS0010X
Sports Medicine (Family Medicine) Physician
160381-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000490094001
BSNENY
NY
05
—
01970341
—
NY
01
—
0927V2
EMPIRE
—
01
—
10490635
CAQH
—
01
—
114406
VALUE OPTIONS
NY
01
—
141338471
FIDELIS
NY
01
—
141338471
UNITED HEALTHCARE
—
01
—
90031
MVP
NY
01
—
P010160381
EXCELLUS
NY
01
—
P010160381
EXCELLUS
—
Enumeration date
11/29/2006
Last updated
03/17/2011
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