Doctor Name: | CHRISTOPHER JOHN DIGREGORIO |
NPI Number: | 1417296013 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RN |
License Number: | 463742 |
Business Practice Address: | 100 Parkway Southold, NY - 119711911 |
Business Phone Number: | 6316037219 |
Business Fax Number: | |
Mailing Address: | 100 Park Way, SOUTHOLD |
State: | NY |
Postal Code: | 11971 |
Phone Number: | 6316037219 |
Fax Number: | |
NPI Enumeration Date: | 02/04/2013 |
NPI Last Update Date: | 02/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0809X |
License Number: | 463742 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |