CRYSTAL DENISE THOMPSON RN
NPI 1144764028
Residential Treatment Facility, Physical Disabilities in Brentwood, NY

Active since December 12, 2016
73 ORIENT AVE, BRENTWOOD, NY 11717(631) 455-2654 Get Directions Write a Review

NPPES record last updated: December 12, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Residential Treatment Facility, Physical...

About CRYSTAL THOMPSON

This page provides the complete NPI Profile along with additional information for Crystal Thompson, a provider established in Brentwood, New York with a medical specialization in Residential Treatment Facility, Physical Disabilities. The healthcare provider is registered in the NPI registry with number 1144764028 assigned on December 2016. The practitioner's primary taxonomy code is 320700000X with license number 717469-1 (NY). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI
1144764028 Verify this NPI
Provider Name
CRYSTAL DENISE THOMPSON RN
Gender
Female
Entity Type
Individual
Location Address
73 ORIENT AVE BRENTWOOD, NY 11717
Location Phone
(631) 455-2654
Mailing Address
73 ORIENT AVE BRENTWOOD, NY 11717
Mailing Phone
(631) 455-2654
Is Sole Proprietor?
Yes
Enumeration Date
12-12-2016
Last Update Date
12-12-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Residential Treatment Facility, Physical Disabilities

Taxonomy Code
320700000X
Type
Residential Treatment Facilities
License No.
717469-1
License State
NY
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144764028, enumerated as an "individual" on December 12, 2016.

The provider is located at 73 ORIENT AVE BRENTWOOD, NY 11717 and the phone number is (631) 455-2654.

Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X.