MEDICARE: FIONA MARIE 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	163WS0200X	School Registered Nurse	964241-01	NY
2	103K00000X	Behavior Analyst		NY
3	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1255800991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FIONA MARIE THOMPSON

Provider Business Mailing Address
First Line	:	661 NEREID AVE FL 1
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10470-1519
Country	:	US
Telephone Number	:	347-639-9672
Fax Number	:

Provider Business Practice Location Address
First Line	:	3938 DURYEA AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10466-2441
Country	:	US
Telephone Number	:	347-638-7129
Fax Number	:

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

Provider Enumeration Date	:	11/23/2018
Last Update Date	:	01/29/2026

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Directions to “ FIONA MARIE THOMPSON ” Practice Location

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