Individual
CECILIA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24501 149TH RD, ROSEDALE, NY 11422-2717
(347) 742-7378
Mailing address
24501 149TH RD, ROSEDALE, NY 11422
(347) 742-7378
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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