CHRISTIAN WITHERELL

SOUTHOLD, NY
NPI1144948175
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  404304)
Enumeration Date2022-08-16
Last Update Date2025-04-15
Business Address
CHRISTIAN WITHERELL PMHNP-BC
19995 SOUNDVIEW AVE
SOUTHOLD, NY 11971-2820
Phone number: 631-335-5541
Mailing Address
CHRISTIAN WITHERELL PMHNP-BC
19995 SOUNDVIEW AVE
SOUTHOLD, NY 11971-2820
Phone number:
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