Dephilips, Christina
Dephilips, Christina is an sole proprietor health care provider with primary practice located at 4143 Richmond Ave , Staten Island NY 10312-5637. She recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as her primary health care specialty. Dephilips, Christina can be contacted via phone (718) 966-5556.Contact Information
Primary practice address
4143 Richmond Ave
Staten Island NY 10312-5637
Phone: (718) 966-5556
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Hospitals / General Acute Care Hospital | 282N00000X | 340369 | New York |
Profile Details
| NPI number | 1174983738 |
|---|---|
| LBN Legal business name | Dephilips, Christina |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 25th, 2016 |
| Last updated | Feb 20th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174983738 | NPPES |
| New York | MEDICAID | 340369 |
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