Individual
CHRISTINA LYNN ERRICHIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1061 N BROADWAY, MASSAPEQUA, NY 11758-1853
(516) 420-4300
Mailing address
1061 N BROADWAY, MASSAPEQUA, NY 11758-1853
(516) 420-4300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
021935-1
NY
Other
Enumeration date
04/04/2018
Last updated
08/20/2018
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