Individual
CARINE BRISTOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
560 1ST AVE, TISCH ROOM 183, NEW YORK, NY 10016-6402
(212) 263-7946
(212) 263-2084
Mailing address
196 W MADISON AVE, UNIT 3, DUMONT, NJ 07628-3366
(201) 384-0262
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
333654
NY
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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