Individual
CHRISTINE BIRBEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 FRANKLIN COMMONS, YAPHANK, NY 11980-2007
(631) 924-5506
Mailing address
20 FRANKLIN COMMONS, YAPHANK, NY 11980-2007
(631) 924-5506
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
234210-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01497667
—
NY
Enumeration date
04/16/2007
Last updated
07/09/2007
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