Individual
CHRISTINA LEE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
17 SCHOOL ST, PERU, NY 12972-2616
(518) 643-6442
Mailing address
310 CHRISTIAN RD, ESSEX, NY 12936-2406
(518) 572-4448
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
665816
NY
164W00000X
Licensed Practical Nurse
306527-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PROPRIETOR
—
NY
Enumeration date
11/16/2011
Last updated
01/21/2014
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