Mary Christen

Individual provider Active NPI Registered Nurse · East Greenbush, NY

NPI 1174065387 · NPPES record last updated Nov 7, 2016

Key facts

NPI
1174065387
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
520077 (NY)
Practice address
3 Timber Ledge
East Greenbush, NY 12061-2711
Phone
(518) 813-4336
NPI assigned
Nov 7, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
520077NYMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 520077 NY Yes

Addresses

Primary practice location

3 Timber Ledge
East Greenbush, NY 12061-2711

Mailing address

3 Timber Ledge
East Greenbush, NY 12061-2711
Phone (518) 813-4336

Other providers in East Greenbush, NY

All providers in East Greenbush, NY · Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.