Provider Demographics
NPI:1043228992
Name:PAUL, CHRISTOPHER CAMERON (RN)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:CAMERON
Last Name:PAUL
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 MOUNTAIN VIEW ROAD
Mailing Address - Street 2:
Mailing Address - City:TIVOLI
Mailing Address - State:NY
Mailing Address - Zip Code:12583-5101
Mailing Address - Country:US
Mailing Address - Phone:845-756-2722
Mailing Address - Fax:
Practice Address - Street 1:44 SPRINGWOOD ROAD
Practice Address - Street 2:DAYTOP VILLAGE INC
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572
Practice Address - Country:US
Practice Address - Phone:845-876-5656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY485790163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse