National Provider Identifier
Eddie Daryl Thompson II
Eddie Daryl Thompson II is listed in the NPPES registry with a primary specialty of Counselor in Orchard Park, NY and a listed phone number of (716) 822-2117.
Profile Overview
- NPI
- 1659563898
- Provider Type
- Individual
- Primary Specialty
- Counselor
- Enumeration Date
- August 13, 2007
- Last Updated
- October 07, 2008
Practice Location
- 3176 Abbott RD
- Acas
- Orchard Park, NY 14127-1069
Phone: (716) 822-2117
Mailing Address
- 254 Franklin St
- Lake Shore Behavioral Health
- Buffalo, NY 14202-1954
Specialties
- Counselor (101Y00000X)
Full Record
- NPI
- 1659563898
- Entity Type
- Individual
- Last Name
- Thompson
- First Name
- Eddie
- Middle Name
- Daryl
- Name Prefix
- Mr.
- Name Suffix
- II
- Mailing Street Address
- 254 Franklin St
- Mailing Address Line 2
- Lake Shore Behavioral Health
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14202-1954
- Mailing Country
- US
- Mailing Phone
- (716) 842-0440
- Mailing Fax
- (716) 842-4069
- Practice Street Address
- 3176 Abbott RD
- Practice Address Line 2
- Acas
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-1069
- Practice Country
- US
- Practice Phone
- (716) 822-2117
- Practice Fax
- (716) 822-8165
- Enumeration Date
- August 13, 2007
- Last Updated
- October 07, 2008
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Counselor (101Y00000X)