Healthcare Provider Details

I. General information

NPI: 1851931935
Provider Name (Legal Business Name): CHRISTINE POMIJALSKI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2020
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16222 59TH AVE
FRESH MEADOWS NY
11365-1435
US

IV. Provider business mailing address

16222 59TH AVE
FRESH MEADOWS NY
11365-1435
US

V. Phone/Fax

Practice location:
  • Phone: 347-530-7034
  • Fax:
Mailing address:
  • Phone: 347-530-7034
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1122334
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number779617
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: