Provider Demographics
NPI:1184795692
Name:THOMPSON, MICHAEL FRANKLYN (DPM)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:FRANKLYN
Last Name:THOMPSON
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:34 PLAZA STREET
Mailing Address - Street 2:SUITE 107
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238
Mailing Address - Country:US
Mailing Address - Phone:718-857-9004
Mailing Address - Fax:718-857-7251
Practice Address - Street 1:34 PLAZA STREET
Practice Address - Street 2:SUITE 107
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238
Practice Address - Country:US
Practice Address - Phone:718-857-9004
Practice Address - Fax:718-857-7251
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NYN003374213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00698655Medicaid
NYP35642Medicare ID - Type Unspecified
NY00698655Medicaid