Individual
CHRISTINE LYN TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3155 AMBOY RD, STATEN ISLAND, NY 10306-2799
(718) 313-1470
Mailing address
12 INTERLAKEN CT UNIT 8, FREEHOLD, NJ 07728-3921
(732) 303-7947
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR11417800
NJ
163W00000X
Registered Nurse
Primary
519200-1
NY
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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