Individual
MS. ANNETTA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 LIVINGSTON ST, BROOKLYN, NY 11201-1260
(718) 625-4055
Mailing address
111 LIVINGSTON ST, BROOKLYN, NY 11201-1260
(347) 792-3715
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
653132
NY
Other
Enumeration date
09/05/2012
Last updated
08/18/2014
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