Individual
MS. CHRISTINA R DUGGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8268 164TH ST, JAMAICA, NY 11432-1121
(718) 883-3225
(718) 883-6193
Mailing address
82-68 164TH STREET, JAMAICA, NY 11432
(718) 883-4657
(718) 883-6149
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
009584
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00246075
—
NY
Enumeration date
10/19/2006
Last updated
04/29/2021
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