Healthcare Provider Details

I. General information

NPI: 1780531376
Provider Name (Legal Business Name): CHRISTINE-ALEXANDRA MUTIA
Entity Type: Individual
Gender:
Sole Proprietor: N

Provider Other Name: CHRISTINE STEINFELD

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 03/12/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 CHERRYWOOD DR
FISHKILL NY
12524-2809
US

IV. Provider business mailing address

117 CHERRYWOOD DR
FISHKILL NY
12524-2809
US

V. Phone/Fax

Practice location:
  • Phone: 845-499-4387
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number788023-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: