Individual
CHRISTINE NYHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 AMBER CT, HAUPPAUGE, NY 11788-3107
(631) 724-7006
Mailing address
16 AMBER CT, HAUPPAUGE, NY 11788-3107
(631) 724-7006
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
416411
NY
Other
Enumeration date
10/13/2010
Last updated
10/13/2010
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