Provider Demographics
NPI:1003379538
Name:DR. CHRISTINA CHECINSKI PC
Entity Type:Organization
Organization Name:DR. CHRISTINA CHECINSKI PC
Other - Org Name:DR. CHRISTINA CHECINSKI LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHECINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DACM
Authorized Official - Phone:201-264-9160
Mailing Address - Street 1:335 PLAZA RD N
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-3633
Mailing Address - Country:US
Mailing Address - Phone:201-264-9160
Mailing Address - Fax:
Practice Address - Street 1:335 PLAZA RD N
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-3633
Practice Address - Country:US
Practice Address - Phone:201-264-9160
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-11
Last Update Date:2019-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty