Doctor Name: | CHRISTINA MARIE HENDERSHOT |
NPI Number: | 1861523946 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNA |
License Number: | 501428-1 |
Business Practice Address: | 333 Route 25a Rocky Point, NY - 117788556 |
Business Phone Number: | 6317443671 |
Business Fax Number: | 6317446205 |
Mailing Address: | 464 Nichols Rd, HAUPPAUGE |
State: | NY |
Postal Code: | 117885013 |
Phone Number: | 6319799436 |
Fax Number: | |
NPI Enumeration Date: | 03/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 501428-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |