Geronimo, Christine
Geronimo, Christine is an sole proprietor health care provider with primary practice located at 225 Middle Country Rd Suite 3, Middle Island NY 11953-2553. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Geronimo, Christine can be contacted via phone (631) 775-8850.Contact Information
Primary practice address
225 Middle Country Rd Suite 3
Middle Island NY 11953-2553
Phone: (631) 775-8850
Fax: (631) 775-8852
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 240447 | New York |
Profile Details
| NPI number | 1598914327 |
|---|---|
| LBN Legal business name | Geronimo, Christine |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 17th, 2008 |
| Last updated | Sep 30th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598914327 | NPPES |
| New York | Other | 1841579562 | GROUP NPI |
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