Individual
MRS. CHRISTINE NOEL BREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30 PROSPECT AVE, NEONATAL ICU, HACKENSACK, NJ 07601-1914
(201) 996-2000
Mailing address
7 STEBBINS AVE, STATEN ISLAND, NY 10310-1637
(718) 351-6529
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001791
CT
363A00000X
Physician Assistant
012810
NY
363A00000X
Physician Assistant
25MP00253600
NJ
Other
Enumeration date
09/30/2007
Last updated
03/07/2011
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