Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crystal Lucille Treadwell

Individual provider Licensed Practical Nurse · NPI 1528840980

Crystal Lucille Treadwell is a Licensed Practical Nurse in Stony Brook, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023

Practice location Address checks out

1413 Stony Brook Rd
Stony Brook, NY 11790-2214
Phone: (631) 444-4400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 323171 (NY)

Record details

NPI number1528840980
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 19, 2023
Last updated in NPPESOctober 19, 2023
Certification dateOctober 19, 2023
Mailing address1413 Stony Brook Rd, Stony Brook, NY 11790-2214

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