Christina O Babineau

Individual provider Active NPI Licensed Practical Nurse · Troy, NY

NPI 1417202003 · NPPES record last updated Jul 19, 2012

Key facts

NPI
1417202003
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
309047 (NY)
Practice address
1 Conway CT
Troy, NY 12180-2108
Phone
(518) 274-6525
Fax
(518) 274-6511
NPI assigned
Jul 19, 2012
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
309047NYMDAdult Health Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 309047 NY Yes

Addresses

Primary practice location

1 Conway CT
Troy, NY 12180-2108

Mailing address

1004 Ostrander PL Apt 2
Schenectady, NY 12303-1261
Phone (518) 274-6525

Other providers in Troy, NY

All providers in Troy, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.