| Doctor Name: | CHRISTINE FRANCES CAMPAGNA |
| NPI Number: | 1003250622 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHYSICIAN ASSISTANT |
| License Number: | 015972 |
| Business Practice Address: | 6 Technology Dr Stony Brook, NY - 117949254 |
| Business Phone Number: | 6314444686 |
| Business Fax Number: | 6314444622 |
| Mailing Address: | Po Box 1554, STONY BROOK |
| State: | NY |
| Postal Code: | 117900988 |
| Phone Number: | 6314440650 |
| Fax Number: | 6316384170 |
| NPI Enumeration Date: | 04/25/2013 |
| NPI Last Update Date: | 11/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 015972 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |