Healthcare Provider Details

I. General information

NPI: 1083054043
Provider Name (Legal Business Name): CHRISTINA F SCHETTINO RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/04/2013
Last Update Date: 07/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

78 OXFORD RD
ALBANY NY
12203-3006
US

IV. Provider business mailing address

78 OXFORD RD
ALBANY NY
12203-3006
US

V. Phone/Fax

Practice location:
  • Phone: 518-459-0556
  • Fax:
Mailing address:
  • Phone: 518-459-0556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number357192-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: