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.

About Crystal Denise Thompson Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL DENISE THOMPSON RN (NPI 1144764028) is an individual residential treatment facility, physical disabilities provider in Brentwood, New York, licensed in New York (717469-1) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1144764028
Entity TypeIndividualFemale
Primary Taxonomy320700000X
Provider Legal NameCRYSTAL DENISE THOMPSONCredential: RN
Location Address73 ORIENT AVEBrentwood, NY 11717-1616
Mailing Address73 Orient AveBrentwood, NY 11717-1616 · (631) 455-2654
Sole ProprietorYes
Enumeration DateDecember 12, 2016
NPI 1144764028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Physical DisabilitiesResidential Treatment Facilities
Taxonomy Code320700000X
License Licensed in NY · 717469-1
Definition

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.

73 ORIENT AVE, Brentwood, NY 11717

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.