Healthcare Provider Details

I. General information

NPI: 1720542582
Provider Name (Legal Business Name): CRISTINA DRUMM FNP, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2019
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 OLD COUNTRY RD STE 115
CARLE PLACE NY
11514-1845
US

IV. Provider business mailing address

448 2ND AVE W
EAST NORTHPORT NY
11731-3401
US

V. Phone/Fax

Practice location:
  • Phone: 516-610-0604
  • Fax:
Mailing address:
  • Phone: 347-886-3977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number405246
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number343919
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: