Individual provider · NPI-1

Christopher D'Ambrose

Registered Nurse, Psych/Mental Health, Adult · Staten Island, NY

NPI number1770949828

StatusActive

Last updated in NPPESJan 5, 2016

Details

NPI: 1770949828
Entity type: Individual (NPI-1)
Name: Christopher D'Ambrose
Sex: Male
Sole proprietor: No
Enumeration date: Jan 5, 2016
Last updated: Jan 5, 2016

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
163WP0809X	Registered Nurse, Psych/Mental Health, Adult	657362	NY	Yes

Practice location

777 Seaview Ave
Staten Island, NY 10305-3409

Phone 718-668-8150 · Fax 718-667-2344

Mailing address

777 Seaview Ave
Staten Island, NY 10305-3409

Phone 718-668-8150 · Fax 718-667-2344

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