Individual
LINDA CITRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 632-3900
Mailing address
PO BOX 826186, PHILADELPHIA, PA 19182-6186
(866) 898-7142
(770) 237-1723
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
301931
NY
363LF0000X
Family Nurse Practitioner
334126
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02087089
—
NY
01
—
1228G1
BCBS
NY
01
—
95N562
BLUECROSS BLUESHIELD
NY
Enumeration date
12/29/2005
Last updated
10/18/2010
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