MEDICARE: CHRISTINA LAING

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	164W00000X	Licensed Practical Nurse	33130	NY

General Provider Information

NPI Number	:	1366199457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA LAING

Provider Business Mailing Address
First Line	:	1530 STORY AVE APT 716
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10473-4641
Country	:	US
Telephone Number	:	973-928-9111
Fax Number	:

Provider Business Practice Location Address
First Line	:	1530 STORY AVE APT 716
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10473-4641
Country	:	US
Telephone Number	:	973-928-9111
Fax Number	:

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

Provider Enumeration Date	:	03/08/2022
Last Update Date	:	03/08/2022

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Directions to “ CHRISTINA LAING ” Practice Location

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