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Individual

MS. CHRISTINA ANGELA ZACCARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
504B MONTAUK HWY, CENTER MORICHES, NY 11934
(631) 878-2222
(631) 878-4129
Mailing address
504B MONTAUK HWY, CENTER MORICHES, NY 11934
(631) 878-2222
(631) 878-4129

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
577561
NY
164W00000X
Licensed Practical Nurse
272702
NY
363L00000X
Nurse Practitioner
Primary
305761-1
NY
363L00000X
Nurse Practitioner
F305761-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02549291
NY
Enumeration date
07/25/2007
Last updated
05/06/2024
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