Healthcare Provider Details

I. General information

NPI: 1225352297
Provider Name (Legal Business Name): JOEL CHRISTOPHER THOMPSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2010
Last Update Date: 09/09/2026
Certification Date: 01/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 EAST ADAMS ST CHILDREN'S CANCER CENTER
SYRACUSE NY
13210-2306
US

IV. Provider business mailing address

750 EAST ADAMS ST CHILDREN'S CANCER CENTER
SYRACUSE NY
13210-2306
US

V. Phone/Fax

Practice location:
  • Phone: 315-464-5294
  • Fax: 315-464-6330
Mailing address:
  • Phone: 315-464-5294
  • Fax: 315-464-6330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number346893
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number32399
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: