MEDICARE: CHRISTOPHER HOWARD NP

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
1	363LF0000X	Family Nurse Practitioner	350745	NY

General Provider Information

NPI Number	:	1306556998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER HOWARD NP

Provider Business Mailing Address
First Line	:	450 BEACH 122ND ST
Second Line	:
City	:	ROCKAWAY PARK
State	:	NY
Zip	:	11694-1827
Country	:	US
Telephone Number	:	917-459-6540
Fax Number	:

Provider Business Practice Location Address
First Line	:	10402 ROCKAWAY BEACH BLVD
Second Line	:
City	:	ROCKAWAY PARK
State	:	NY
Zip	:	11694-2744
Country	:	US
Telephone Number	:	718-945-1100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2022
Last Update Date	:	12/05/2022

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