Individual
REWA NICOLE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
540 FULTON AVE, HEMPSTEAD, NY 11550-4364
(516) 750-2500
(516) 483-3592
Mailing address
17 MONROE AVE, ROOSEVELT, NY 11575-2438
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F420443-1
NY
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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