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CHRISTINE CHRYSLER WEIDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1770 MOTOR PKWY, MID-SUFFOLK PEDIATRICS, ISLANDIA, NY 11749-5260
(631) 434-1770
Mailing address
122 GREENLAWN RD, WHITE HOUSE - GREEN DOOR, HUNTINGTON, NY 11743-2933
(631) 470-0445

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NY-F381652
NY

Other

Enumeration date
05/29/2007
Last updated
07/08/2007
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