MEDICARE: CHRISTIE DIPIETRANTONIO 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	363L00000X	Nurse Practitioner	RN2386747	MA

General Provider Information

NPI Number	:	1356116362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTIE DIPIETRANTONIO NP

Provider Business Mailing Address
First Line	:	16 TUSA CT
Second Line	:
City	:	SAINT JAMES
State	:	NY
Zip	:	11780-1624
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	33 E 33RD ST FL 12
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10016-5362
Country	:	US
Telephone Number	:	631-338-5184
Fax Number	:

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

Provider Enumeration Date	:	11/20/2023
Last Update Date	:	12/17/2024

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