Individual
CHRISTINE ANN JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
210 E 64TH ST, NEW YORK, NY 10065-7471
(516) 661-6760
Mailing address
25 7TH AVE, GARDEN CITY PARK, NY 11040-5031
(516) 661-6760
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0224031
NY
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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