NPI 1144764028

Crystal Denise Thompson, RN

Practitioner Physical Disabilities Residential Treatment Facility Brentwood, NY

Practice location

Address: 73 Orient Ave, Brentwood, NY 11717-1616
Phone: (631) 455-2654

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 717469-1 (NY)

Other Residential Treatment Facility, Physical Disabilities providers in New York →

Registry record

NPI: 1144764028
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Dec 2016
Record last updated: 12 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.