Individual
MISS CHRISTIE DILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA EDUCATION
Contact information
Practice address
229 LAUREL RD, EAST NORTHPORT, NY 11731-1100
(631) 659-3337
Mailing address
39 LINDEN AVE, HOLTSVILLE, NY 11742-2392
(631) 838-4973
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
253200000X
253200000X
—
01
—
408905628
DRIVER LICENSE
NY
Enumeration date
12/01/2017
Last updated
06/16/2018
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