Individual
CHRISTINE DIANE WATERS-CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
163 W 125TH ST, 4TH FLOOR, NEW YORK, NY 10027-4436
(212) 531-8001
Mailing address
53 CAMPEAU PL, BERGENFIELD, NJ 07621-3324
(201) 387-1728
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F331545-1
NY
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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