Healthcare Provider Details

I. General information

NPI: 1013428853
Provider Name (Legal Business Name): CHRISTINA M. FIGUEROA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2017
Last Update Date: 10/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

82 MIDDLE COUNTRY RD
CORAM NY
11727-4411
US

IV. Provider business mailing address

1200 BROWN STREET HUDSON RIVER HEALTHCARE, INC. - CREDENTIAING DEPT
PEEKSKILL NY
10566-2913
US

V. Phone/Fax

Practice location:
  • Phone: 631-320-2220
  • Fax: 631-320-2236
Mailing address:
  • Phone: 914-734-8858
  • Fax: 914-734-8786

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number007520
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: