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NPI Code Detail

MEDICARE: JOY THOMPSON RN

MEDICARE: JOY THOMPSON RN
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
1163W00000XRegistered Nurse671878-1NY

General Provider Information

NPI Number : 1295163814
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOY THOMPSON RN
Provider Business Mailing Address
First Line : 3218 AVENUE I
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-3940
Country : US
Telephone Number : 917-454-8973
Fax Number : 718-252-2525
Provider Business Practice Location Address
First Line : 3218 AVENUE I
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-3940
Country : US
Telephone Number : 718-252-2525
Fax Number : 718-252-2525
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2013
Last Update Date : 10/16/2013

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