MEDICARE: MS. CHRISTINE MARIE GARCIA CPNP-PC

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	286334-1	NY
2	363LP2300X	Primary Care Nurse Practitioner	F-381365-1	NY
3	363LP0200X	Pediatric Nurse Practitioner	F-381365-1	NY

General Provider Information

NPI Number	:	1942405840
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CHRISTINE MARIE GARCIA CPNP-PC

Provider Business Mailing Address
First Line	:	425 MAIN ST
Second Line	:	3C
City	:	NEW YORK
State	:	NY
Zip	:	10044-0238
Country	:	US
Telephone Number	:	631-574-7765
Fax Number	:	212-477-7236

Provider Business Practice Location Address
First Line	:	425 MAIN ST
Second Line	:	3C
City	:	NEW YORK
State	:	NY
Zip	:	10044-0238
Country	:	US
Telephone Number	:	631-574-7765
Fax Number	:	212-477-7236

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

Provider Enumeration Date	:	06/19/2007
Last Update Date	:	02/23/2024

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