Individual
DR. CHRISTOPHER JOHN CIMMINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
83-40 WOODHAVEN BLVD, GLENDALE, NY 11385-7824
(718) 441-4444
(718) 849-7854
Mailing address
8340 WOODHAVEN BLVD, GLENDALE, NY 11385-7824
(718) 441-4444
(718) 849-7854
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
134874
NY
207Q00000X
Family Medicine Physician
Primary
134874
NY
208100000X
Physical Medicine & Rehabilitation Physician
134874
NY
2083S0010X
Sports Medicine (Preventive Medicine) Physician
134874
NY
208VP0000X
Pain Medicine Physician
134874
NY
208VP0014X
Interventional Pain Medicine Physician
137874
NY
209800000X
Legal Medicine (M.D./D.O.) Physician
134874
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007 998 80
—
NY
Enumeration date
07/14/2005
Last updated
10/22/2010
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