CHRISTINE D'URSO


Address: 17-19 W. 45th Street, Suite 907, New York, NY 10036
Phone: 6469697789

CHRISTINE D'URSO (NPI# 1154805927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154805927
Entity Type Individual
Full Name CHRISTINE D'URSO
Credential PH.D
Practice Address 17-19 W. 45th Street
Suite 907
New York
NY 10036
Mailing Address 1332 65th St Fl 2
Brooklyn
NY 11219-5616
Practice Telephone 6469697789
Enumeration Date 2018-09-18
Last Update Date 2019-12-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
022868 NY Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
7559 263rd St, Glen Oaks, NY 110041150 7184708052

Office Location

Street Address 17-19 W. 45TH STREET
SUITE 907
City NEW YORK
State NY
Zip Code 10036

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10036

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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