Individual
CHRISTINE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 MIDDLEVILLE RD, NORTHPORT, NY 11768-2333
(631) 261-4400
Mailing address
17 WILLIS ST, NORTHPORT, NY 11768-1963
(631) 754-7348
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
454379-1
NY
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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