Healthcare Provider Details

I. General information

NPI: 1912789884
Provider Name (Legal Business Name): CHRISTINA MARIE LEMA WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/16/2023
Last Update Date: 10/16/2023
Certification Date: 10/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 BOWDEN ST
STATEN ISLAND NY
10306-3408
US

IV. Provider business mailing address

12 BOWDEN ST
STATEN ISLAND NY
10306-3408
US

V. Phone/Fax

Practice location:
  • Phone: 718-873-3953
  • Fax:
Mailing address:
  • Phone: 718-873-3953
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberF4211696
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: