CRYSTAL DENISE THOMPSON RN
NPI 1144764028
Residential Treatment Facility, Physical Disabilities in Brentwood, NY
- 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
- Code Navigator
Location Map
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.
