Individual
MRS. CHRISTINE EDMONDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4904 19TH AVE, ASTORIA, NY 11105-1002
(134) 777-4729
Mailing address
7018 CORAL REEF WAY, ARVERNE, NY 11692-2011
(718) 288-7598
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401684
NY
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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