Provider Demographics
NPI:1104202472
Name:ATLAS, CHRISTINE
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:ATLAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 FIRST AVENUE 3 RD FL ROOM TH- 380
Mailing Address - Street 2:N.Y.U.MEDICAL CENTER TISCH IN-PATIENT PHARMACY
Mailing Address - City:N.Y.
Mailing Address - State:NY
Mailing Address - Zip Code:10016
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:560 FIRST AVENUE 3 RD FL ROOM TH- 380
Practice Address - Street 2:N.Y.U.MEDICAL CENTER TISCH IN-PATIENT PHARMACY
Practice Address - City:N.Y.
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:212-263-7300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-10
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042263183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist