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Individual

CHRISTA CONLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(845) 336-5402
(845) 336-5696
Mailing address
PO BOX 578, HURLEY, NY 12443-0578
(845) 336-5402
(845) 336-5696

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01559475
NY
01
319307
MVP HEALTH PLAN
NY
01
G65882
EMPIRE BCBS
NY
Enumeration date
07/13/2006
Last updated
07/08/2007
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