National Provider Identifier
Tanisha Thompson, B.A
Tanisha Thompson, B.A is listed in the NPPES registry with a primary specialty of Specialist in Rochester, NY and a listed phone number of (585) 467-4567.
Profile Overview
- NPI
- 1114308780
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- June 09, 2015
- Last Updated
- June 09, 2015
Practice Location
- 2111 Hudson Ave
- Rochester, NY 14617-4346
Phone: (585) 467-4567
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1114308780
- Entity Type
- Individual
- Last Name
- Thompson
- First Name
- Tanisha
- Credential
- B.A
- Mailing Street Address
- 2111 Hudson Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-4346
- Mailing Country
- US
- Mailing Phone
- (585) 467-4567
- Practice Street Address
- 2111 Hudson Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14617-4346
- Practice Country
- US
- Practice Phone
- (585) 467-4567
- Enumeration Date
- June 09, 2015
- Last Updated
- June 09, 2015
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)