IndividualActive
Crystal Thompson, RN
NPI 1144764028 · Physical Disabilities Residential Treatment Facility · Brentwood, NY
Provider details
- NPI number
- 1144764028
- Entity type
- Individual
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 717469-1 (NY)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
73 Orient Ave
Brentwood, NY 11717-1616
Phone: (631) 455-2654
Approximate (ZIP-level) locationGet directions
Mailing address
73 Orient Ave
Brentwood, NY 11717-1616
Registry dates
- Enumerated
- 2016-12-12
- Last updated
- 2016-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.