Christopher John Digregorio, RN
Individual provider Active NPI Adult Psychiatric/Mental Health Registered Nurse · Southold, NY
NPI 1417296013 · NPPES record last updated Feb 4, 2013
Key facts
- NPI
- 1417296013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse 163WP0809X
- License
- 463742 (NY)
- Practice address
- 100 Parkway
Southold, NY 11971-1911 - Phone
- (631) 603-7219
- NPI assigned
- Feb 4, 2013
- Sex
- Male
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 463742 | NY | MD | Adult Psychiatric/Mental Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 463742 | NY | Yes |
Addresses
Primary practice location
100 Parkway
Southold, NY 11971-1911
Mailing address
100 Park Way
Southold, NY 11971
Phone (631) 603-7219
Other providers in Southold, NY
- Desiree I Reese LCSW PLLC
- Gary Despres
- Judith Devito
- James Andrew Dibble
- Justin Christopher Didonato
- Joan Marie Doherty
- Wendy M Dolan
- Ariel Caitlin Dorfmeister Rojas
- East End Geriatric & Adult Medicine PLLC
- East End Home Care Inc
All providers in Southold, NY · Adult Psychiatric/Mental Health Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.