Provider Demographics
NPI:1740294875
Name:THOMPASIONAS, ALVETTA (PA)
Entity type:Individual
Prefix:PROF
First Name:ALVETTA
Middle Name:
Last Name:THOMPASIONAS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8335 139TH ST
Mailing Address - Street 2:APT 5A
Mailing Address - City:BRIARWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11435-1600
Mailing Address - Country:US
Mailing Address - Phone:718-441-9711
Mailing Address - Fax:
Practice Address - Street 1:50 COURT ST
Practice Address - Street 2:SUITE 901
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-4859
Practice Address - Country:US
Practice Address - Phone:718-855-7707
Practice Address - Fax:718-855-7717
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY000-577-1363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical