Thompson, Marian

Thompson, Marian is an individual health care provider with primary practice located at 930 S Salina St , Syracuse NY 13202-3530. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Thompson, Marian can be contacted via phone (315) 476-7921.

Contact Information

Primary practice address
930 S Salina St Syracuse NY 13202-3530
Phone: (315) 476-7921
Fax: (315) 476-5529
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F406690-01 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F340670-1 New York

Profile Details

NPI number 1063863470
LBN Legal business name Thompson, Marian
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2016
Last updated Jan 28th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063863470 NPPES
New York MEDICAID 04540772

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