MEDICARE: ALEXANDRA THOMPSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1871222612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA THOMPSON

Provider Business Mailing Address
First Line	:	1547 COUNTY ROAD 9
Second Line	:
City	:	GREENE
State	:	NY
Zip	:	13778-3300
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9 RIVER ST
Second Line	:
City	:	ONEONTA
State	:	NY
Zip	:	13820-2338
Country	:	US
Telephone Number	:	607-433-0002
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2022
Last Update Date	:	06/07/2022

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Directions to “ ALEXANDRA THOMPSON ” Practice Location

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