Doctor Name: | MRS. CHRISTINA RENEE VON DIETSCH |
NPI Number: | 1356565162 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | EMT |
License Number: | 198554 |
Business Practice Address: | 215 Cornwall Meadows Ln Patterson, NY - 125632652 |
Business Phone Number: | 8458783590 |
Business Fax Number: | |
Mailing Address: | 215 Cornwall Meadows Ln, PATTERSON |
State: | NY |
Postal Code: | 125632652 |
Phone Number: | 8458783590 |
Fax Number: | |
NPI Enumeration Date: | 04/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 146N00000X |
License Number: | 198554 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Emergency Medical Service Providers |
Taxonomy Classification: | Emergency Medical Technician, Basic |
Taxonomy Specialization: | |
Taxonomy Definition: | A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |