Individual
CHRISTINE KADIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1228 E MAIN ST STE C, RIVERHEAD, NY 11901-2677
(631) 603-3400
(631) 603-3401
Mailing address
1 E ROE BLVD, PATCHOGUE, NY 11772-2631
(631) 625-7210
(631) 475-3900
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310315
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07195724
—
NY
Enumeration date
08/11/2021
Last updated
08/23/2022
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