Individual
CHRISTINA PAMPHILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 ROUTE 303, VALLEY COTTAGE, NY 10989
(845) 267-2172
Mailing address
140 ROUTE 303, VALLEY COTTAGE, NY 10989
(845) 267-2172
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
480572261
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
480572261
—
NY
Enumeration date
02/14/2018
Last updated
02/14/2018
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