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NPI Code Detail

MEDICARE: MRS. CARMEN ROSE CHRISTIAN REGISTERED NURSE

MEDICARE:  MRS. CARMEN ROSE CHRISTIAN  REGISTERED NURSE
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
1310400000XAssisted Living Facility504304NY
2311Z00000XCustodial Care Facility504304NY
3311ZA0620XAdult Care Home Facility504304NY
4314000000XSkilled Nursing Facility504304NY
53140N1450XPediatric Skilled Nursing Facility

General Provider Information

NPI Number : 1760796437
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CARMEN ROSE CHRISTIAN REGISTERED NURSE
Provider Business Mailing Address
First Line : 1319 EAST 91ST STREET
Second Line :
City : BROOKLYM
State : NEW YORK
Zip : 11236
Country : AM
Telephone Number : 718-444-9861
Fax Number :
Provider Business Practice Location Address
First Line : 1319 E 91ST ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-4213
Country : US
Telephone Number : 718-444-9861
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2010
Last Update Date : 08/04/2010

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Directions to “ MRS. CARMEN ROSE CHRISTIAN REGISTERED NURSE” Practice Location

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