Individual
MS. CHRISTINE MARIE CERVINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1305 YORK AVENUE, RM 4-30, NEW YORK, NY 10021
(646) 962-4718
(646) 962-0377
Mailing address
6860 108TH ST, APT 1 H, FOREST HILLS, NY 11375-2973
(718) 577-9862
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
304015
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
304015
LICENSE NUMBER
NY
Enumeration date
07/05/2007
Last updated
07/08/2007
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