Individual
CHRISTINA ENNABI WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
125 W 25TH ST FL 7, NEW YORK, NY 10001-7247
(888) 564-5250
Mailing address
125 W 25TH ST FL 7, NEW YORK, NY 10001-7247
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R1367
TX
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
R1367
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2014
Last updated
09/07/2023
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