Organization
CHRISTINE COOLIDGE RN CS PHD PC
Active
Other names
Long Island Pain & Stress Hampton Pain & Stress
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE COOLIDGE RN CS PHD (PRESIDENT)
(631) 728-2000
Entity
Organization
Contact information
Practice address
186 W MONTAUK HWY D 1, HAMPTON BAYS, NY 11946
(631) 728-2000
Mailing address
18 DUCKWOOD LA, HAMPTON BAYS, NY 11946
(631) 728-2000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0148401
NY
364S00000X
Clinical Nurse Specialist
2428621
NY
Other
Enumeration date
11/15/2006
Last updated
07/20/2007
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