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Crystal Denise Thompson, RN
Physical Disabilities Residential Treatment Facility in Brentwood, New York
NPI 1144764028

Crystal Denise Thompson is a Physical Disabilities Residential Treatment Facility based in Brentwood, NY. Crystal Denise Thompson practices in Brentwood, NY and has the professional credentials of RN. The NPI Number for Crystal Denise Thompson is 1144764028 and holds a License No. 717469-1 (New York).

The current practice location address for Crystal Denise Thompson is 73 Orient Ave, Brentwood, NY and can be reached out via phone at 631-455-2654.

Location: 73 Orient Ave, Brentwood, NY, 11717-1616
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144764028
Provider Name
Crystal Denise Thompson
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
73 Orient Ave, Brentwood, NY, 11717-1616
Phone Number
631-455-2654
Fax Number
Provider Enumeration Date
12/12/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
73 Orient Ave
City
Brentwood
State
New York
Zip
11717-1616
Phone Number
631-455-2654
Fax Number
person
Provider Business Mailing Address Details
Address
73 Orient Ave
City
Brentwood
State
New York
Zip
11717-1616
Phone Number
631-455-2654
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
320700000X
License No.
717469-1 (New York)
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.
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