Individual
CHRISTINA DANGERVIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA, RPAC
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-8312
Mailing address
253-18 148 ROAD, ROSEDALE, NY 11422
(646) 510-2388
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
014919
NY
Other
Enumeration date
10/15/2011
Last updated
10/24/2022
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