Individual provider · Type 1 NPI
Crystal Denise Thompson, RN
Physical Disabilities Residential Treatment Facility · Brentwood, NY
NPI number
1144764028
Active
Practice location
73 Orient Ave
Brentwood, NY 11717-1616
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Disabilities Residential Treatment Facility Primary | 320700000X | 717469-1 (NY) |
Physical Disabilities Residential Treatment Facility: 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.
About NPI 1144764028
Crystal Denise Thompson, RN's National Provider Identifier is 1144764028, issued on Dec 12, 2016. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in Brentwood, NY. The record was last updated on Dec 12, 2016.