Individual provider · NPI-1
Cristina Fanita, RT
Radiologic Technologist, Radiation Therapy · Brooklyn, NY
NPI number1700284346
StatusActive
Last updated in NPPESDec 14, 2014
Details
- NPI
- 1700284346
- Entity type
- Individual (NPI-1)
- Name
- Cristina Fanita
- Credential
- RT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 14, 2014
- Last updated
- Dec 14, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2471R0002X | Radiologic Technologist, Radiation Therapy | 512610 | NY | Yes |
Other names
- Cristina Gheoghe (Former Name)
Practice location
800 Poly PlBrooklyn, NY 11209-7104
Phone 718-630-3605
Mailing address
4915 Skillman AveApt 1d
Woodside, NY 11377-4169
Phone 646-269-0001
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