Individual
CHRISTIAN DEFOURNOY JR.
Active
Individual
CHRISTIAN DEFOURNOY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
719660
NY
164W00000X
Licensed Practical Nurse
289076
NY
363LF0000X
Family Nurse Practitioner
Primary
F351785
NY
Other
Enumeration date
10/19/2009
Last updated
11/07/2025
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