Pesesky, Christine M

Pesesky, Christine M is an individual health care provider with primary practice located at 317 W Lockhart St , Sayre PA 18840-1618. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Pesesky, Christine M can be contacted via phone (570) 887-2832.

Contact Information

Primary practice address
317 W Lockhart St Sayre PA 18840-1618
Phone: (570) 887-2832
Fax: (570) 887-3035
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP013286 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F333069 New York

Profile Details

NPI number 1386795334
LBN Legal business name Pesesky, Christine M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Sep 11th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386795334 NPPES
New York MEDICAID 02122205

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