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Individual

CHRISTOPHER J CARDOZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
197 HALF HOLLOW RD, DIX HILLS, NY 11746-5859
(631) 370-1700
Mailing address
197 HALF HOLLOW RD, DIX HILLS, NY 11746-5859
(631) 370-1700

Taxonomy

Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
805607
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
235288843
NYS LICENSE
NY
Enumeration date
08/30/2022
Last updated
08/30/2022
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