Pettigrew, Christina Amelia

Pettigrew, Christina Amelia is an individual health care provider with primary practice located at 1069 Hempstead Tpke , Franklin Square NY 11010-2631. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Pettigrew, Christina Amelia can be contacted via phone (516) 865-1146.

Contact Information

Primary practice address
1069 Hempstead Tpke Franklin Square NY 11010-2631
Phone: (516) 865-1146
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1396407375
LBN Legal business name Pettigrew, Christina Amelia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2021
Last updated Oct 7th, 2021 - about 5 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 1396407375 NPPES
New York MEDICAID 11074774

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