Individual
MISS CHRISTINA MARIE DIVITTORIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1346 PINE DR, BAY SHORE, NY 11706-3818
(631) 620-4261
Mailing address
1346 PINE DR, BAY SHORE, NY 11706-3818
(631) 620-4261
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
697792
NY
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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