Individual
MISS CHRISTINA MARIE HENNESSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
354 PHILLIPS HILL RD, NEW CITY, NY 10956-2015
(917) 648-8741
Mailing address
83 HUNT AVE, PEARL RIVER, NY 10965-1868
(845) 709-5082
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
688307-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EA16409R
—
NY
Enumeration date
09/22/2014
Last updated
09/22/2014
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