Individual
CHRISTINA M VILBIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 CLEREMONT AVE, SAINT JAMES, NY 11780-1745
(631) 813-0483
Mailing address
60 CLEREMONT AVE, SAINT JAMES, NY 11780-1745
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
632057-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
632057-1
NYS NURSING LICENSE
NY
Enumeration date
08/23/2017
Last updated
08/23/2017
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