Individual
MR. CHRISTOPHER VIAGRANDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NPP
Contact information
Practice address
15 ALBIN RD, DELMAR, NY 12054-4122
(845) 518-7167
(518) 670-9636
Mailing address
15 ALBIN RD, DELMAR, NY 12054-4122
(845) 518-7167
(518) 670-9636
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
401279
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401279-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
401279
OFFICE OF THE PROFESSIONS
NY
01
—
826669222
NYS DMV
NY
Enumeration date
06/16/2010
Last updated
11/15/2022
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