Individual
CHRISTINE CAROLINE DEMATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
23 CARSTON ST, SELDEN, NY 11784-4010
(631) 891-8991
Mailing address
23 CARSTON ST, SELDEN, NY 11784-4010
(631) 891-8991
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
634287-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
634287-1
—
NY
Enumeration date
09/23/2010
Last updated
09/23/2010
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