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NPI Code Detail

MEDICARE: CHRISTINA YOHANNAN DO

MEDICARE: CHRISTINA YOHANNAN DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician306445NY

General Provider Information

NPI Number : 1174051494
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA YOHANNAN DO
Provider Business Mailing Address
First Line : 575 HUDSON VALLEY AVE STE 201
Second Line :
City : NEW WINDSOR
State : NY
Zip : 12553-4746
Country : US
Telephone Number : 845-220-2270
Fax Number : 845-220-2277
Provider Business Practice Location Address
First Line : 575 HUDSON VALLEY AVE STE 201
Second Line :
City : NEW WINDSOR
State : NY
Zip : 12553-4746
Country : US
Telephone Number : 845-220-2270
Fax Number : 845-220-2277
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2017
Last Update Date : 02/04/2021

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Directions to “ CHRISTINA YOHANNAN DO” Practice Location

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