| Doctor Name: | MARTHA MCPHAIL THOMSON |
| NPI Number: | 1417149659 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | F401079 |
| Business Practice Address: | 146 Pike Street Port Jervis, NY - 12771 |
| Business Phone Number: | 8458581456 |
| Business Fax Number: | 8458581459 |
| Mailing Address: | 146 Pike Street, PORT JERVIS |
| State: | NY |
| Postal Code: | 12771 |
| Phone Number: | 8458581456 |
| Fax Number: | 8458581459 |
| NPI Enumeration Date: | 08/12/2007 |
| NPI Last Update Date: | 12/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | F401079 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |