Healthcare Provider Details

I. General information

NPI: 1881009090
Provider Name (Legal Business Name): CRISTINA NICOLE DIMARTE PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CRISTINA NICOLE FINI PA

II. Dates (important events)

Enumeration Date: 06/26/2014
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 CHURCH HILL RD
NEWTOWN CT
06470-1637
US

IV. Provider business mailing address

33 CHURCH HILL RD
NEWTOWN CT
06470-1637
US

V. Phone/Fax

Practice location:
  • Phone: 203-426-5554
  • Fax:
Mailing address:
  • Phone: 203-426-5554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number3156
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: