Healthcare Provider Details

I. General information

NPI: 1033073119
Provider Name (Legal Business Name): MRS. MARIA KRISTINA ATTONG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2865 CODDINGTON AVE UNIT 1
BRONX NY
10461-5926
US

IV. Provider business mailing address

15094 CEDARBROOK DR
GREENCASTLE PA
17225-8422
US

V. Phone/Fax

Practice location:
  • Phone: 917-951-8378
  • Fax: 212-897-2162
Mailing address:
  • Phone: 917-951-8378
  • Fax: 212-897-2162

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: