Healthcare Provider Details

I. General information

NPI: 1316867021
Provider Name (Legal Business Name): CHRISTINE TOBIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

177 FORT WASHINGTON AVE
NEW YORK NY
10032-3733
US

IV. Provider business mailing address

54 CALVERT AVE W
EDISON NJ
08820-3159
US

V. Phone/Fax

Practice location:
  • Phone: 212-305-8078
  • Fax:
Mailing address:
  • Phone: 732-489-2131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number312100
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: