MEDICARE: CHRISLA FILSAIME

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	163W00000X	Registered Nurse	N30464-01	NY
2	164W00000X	Licensed Practical Nurse	332576-1	NY

General Provider Information

NPI Number	:	1407324684
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISLA FILSAIME

Provider Business Mailing Address
First Line	:	169 COMMACK RD # 1049
Second Line	:
City	:	COMMACK
State	:	NY
Zip	:	11725-3442
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	169 COMMACK RD # 1049
Second Line	:
City	:	COMMACK
State	:	NY
Zip	:	11725-3442
Country	:	US
Telephone Number	:	516-246-4395
Fax Number	:

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

Provider Enumeration Date	:	11/06/2018
Last Update Date	:	04/18/2026

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Directions to “ CHRISLA FILSAIME ” Practice Location

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