Individual
MARY C THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP, CNM
Contact information
Practice address
5700 WEST GENESEE ST., CAMILLUS, NY 13031
(315) 488-1112
(315) 488-6707
Mailing address
5700 WEST GENESEE ST., CAMILLUS, NY 13031
(315) 488-1112
(315) 488-6707
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
F0001911
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01935244
—
NY
01
—
F0001911
LICENSE
NY
Enumeration date
10/03/2006
Last updated
03/07/2023
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