Individual
MISS CHRISTIANA MARIE PONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
400 S MARGINAL RD, JERICHO, NY 11753-1913
(516) 343-9914
Mailing address
400 S MARGINAL RD, JERICHO, NY 11753-1913
(516) 343-9914
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
754890-1
NY
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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