Individual
CHRISTINE IRVING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
55 RULAND RD, SELDEN, NY 11784-1742
(631) 764-6867
Mailing address
55 RULAND RD, SELDEN, NY 11784-1742
(631) 764-6867
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
673611-1
NY
Other
Enumeration date
05/02/2014
Last updated
05/02/2014
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