Berry, Christina

Berry, Christina is an sole proprietor health care provider with primary practice located at 215 South St , Southold NY 11971-1996. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Berry, Christina can be contacted via phone (631) 765-8084.

Contact Information

Primary practice address
215 South St Southold NY 11971-1996
Phone: (631) 765-8084
Fax: (631) 765-8897
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 0128821 New York

Profile Details

NPI number 1801870290
LBN Legal business name Berry, Christina
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2005
Last updated Oct 31st, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801870290 NPPES
New York Other 11518456 CAQH
New York Other 2034188811 CAQH
New York Other 0128821 CAQH

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