MEDICARE: CHRISTINE SUSAN PARAMBIL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	359069	NY

General Provider Information

NPI Number	:	1306778543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE SUSAN PARAMBIL

Provider Business Mailing Address
First Line	:	540 N 11TH ST
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11040-4213
Country	:	US
Telephone Number	:	516-754-8455
Fax Number	:

Provider Business Practice Location Address
First Line	:	1468 MADISON AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10029-6508
Country	:	US
Telephone Number	:	646-605-4700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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Directions to “ CHRISTINE SUSAN PARAMBIL ” Practice Location

Language	Start Address	Practice Location

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