Individual
CHRISTINA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2119
(631) 473-1320
(631) 686-7972
Mailing address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2119
(631) 473-1320
(631) 686-7972
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005111
NY
Other
Enumeration date
10/06/2006
Last updated
10/08/2015
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