| Doctor Name: | CHRISTINA MARIE CASSIDY |
| NPI Number: | 1164675542 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 532888 |
| Business Practice Address: | 2405 Elbert Ave North Bellmore, NY - 117103033 |
| Business Phone Number: | 5167850162 |
| Business Fax Number: | |
| Mailing Address: | 2405 Elbert Ave, NORTH BELLMORE |
| State: | NY |
| Postal Code: | 117103033 |
| Phone Number: | 5167850162 |
| Fax Number: | |
| NPI Enumeration Date: | 10/29/2008 |
| NPI Last Update Date: | 11/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0200X |
| License Number: | 532888 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |