Individual
CHRISTIE MARIE KUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
632 BROADWAY PH 12, NEW YORK, NY 10012-2614
(347) 294-3414
Mailing address
632 BROADWAY PH 12, NEW YORK, NY 10012-2614
(347) 294-3414
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
F3349531
NY
363LF0000X
Family Nurse Practitioner
Primary
0017139005
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01444917
—
NY
01
—
C05700
GROUP PTAN
VA
01
—
C06695
MEDICARE GROUP PTAN
VA
01
—
C06778
GROUP PTAN
VA
01
—
C09633
GROUP PTAN
VA
Enumeration date
08/12/2006
Last updated
08/31/2022
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