Individual
CHRISTY JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 HOLLOW LN STE 102, NEW HYDE PARK, NY 11042-1219
(516) 502-1897
Mailing address
1601 LINCOLN AVE, NEW HYDE PARK, NY 11040-4315
(516) 724-4418
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
431576
NY
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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