Thompson, Jill B

Thompson, Jill B is an individual health care provider with primary practice located at 847A Fort Salonga Rd , Northport NY 11768-2252. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Thompson, Jill B can be contacted via phone (631) 754-4200.

Contact Information

Primary practice address
847A Fort Salonga Rd Northport NY 11768-2252
Fax: (631) 754-4414
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 209825 New York

Profile Details

NPI number 1427022557
LBN Legal business name Thompson, Jill B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

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 1427022557 NPPES
New York MEDICAID 02127773

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