Individual
DR. CHARLES ELISHA THOMPSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33 WALT WHITMAN RD STE 300B, HUNTINGTON STATION, NY 11746-3642
(516) 259-2525
(516) 962-3739
Mailing address
4 TECHNOLOGY DR, SUITE 220, EAST SETAUKET, NY 11733-4080
(631) 476-9296
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
269959
NY
Other
Enumeration date
02/20/2013
Last updated
07/15/2019
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