CHRISTY K DEFOURNOY

BAY SHORE, NY
NPI1134408602
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: NY  347189)
Enumeration Date2011-08-15
Last Update Date2022-01-06
Business Address
CHRISTY K DEFOURNOY
68 JEFFERSON AVE
BAY SHORE, NY 11706-5760
Phone number: 631-482-0219
Mailing Address
CHRISTY K DEFOURNOY
2053 23RD ST
ASTORIA, NY 11105-3245
Phone number: 631-626-6796
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