Provider Demographics
NPI:1003826132
Name:HOUSTON-ARMSTRONG, CHIQUITA (NP)
Entity Type:Individual
Prefix:
First Name:CHIQUITA
Middle Name:
Last Name:HOUSTON-ARMSTRONG
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 WATER ST FL 12
Mailing Address - Street 2:ADVANTAGECARE PHYSICIANS, PC
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10041-0004
Mailing Address - Country:US
Mailing Address - Phone:631-586-2700
Mailing Address - Fax:516-542-5556
Practice Address - Street 1:900 WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:WEST POINT
Practice Address - State:NY
Practice Address - Zip Code:10996-1109
Practice Address - Country:US
Practice Address - Phone:845-938-3055
Practice Address - Fax:845-938-6076
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY333297-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY62160245Medicaid
NY62160245Medicaid
NY62160245Medicaid