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1275371049
GERVON R THOMPSON
NEW YORK, NY
NPI
1275371049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY F406088-01)
Enumeration Date
2024-07-17
Last Update Date
2024-07-17
Business Address
GERVON R THOMPSON PMHNP
198 E 121ST ST # 5
NEW YORK, NY 10035-3523
Phone number: 212-801-3300
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Mailing Address
GERVON R THOMPSON PMHNP
1977 RALPH AVE STE B
BROOKLYN, NY 11234-5416
Phone number: 718-444-0092
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