Healthcare Provider Details

I. General information

NPI: 1083518427
Provider Name (Legal Business Name): CHRISTOPHER SYMONDS RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 GOLD ST
NORWICH NY
13815-1512
US

IV. Provider business mailing address

24 GOLD ST
NORWICH NY
13815-1512
US

V. Phone/Fax

Practice location:
  • Phone: 607-316-3454
  • Fax:
Mailing address:
  • Phone: 607-316-3454
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberN40215
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: