Healthcare Provider Details

I. General information

NPI: 1467252858
Provider Name (Legal Business Name): CHRISTINA ELVIR RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2025
Last Update Date: 03/15/2025
Certification Date: 03/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 WATER ST STE 401
WHITE PLAINS NY
10601-1401
US

IV. Provider business mailing address

341 W 51ST ST
NEW YORK NY
10019-6401
US

V. Phone/Fax

Practice location:
  • Phone: 914-949-3112
  • Fax:
Mailing address:
  • Phone: 757-738-2848
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License Number856748-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: