Individual
CHRISTA MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51 TAYLOR ST, PORT JEFFERSON STATION, NY 11776-3833
(512) 910-0338
Mailing address
51 TAYLOR ST, PORT JEFFERSON STATION, NY 11776-3833
(512) 910-0338
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
5445605-01
NY
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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