Provider Demographics
NPI:1275154023
Name:CHERPAK-CASTAGNA, CHRISTINE (DCN, CNS, CDN)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:
Last Name:CHERPAK-CASTAGNA
Suffix:
Gender:F
Credentials:DCN, CNS, CDN
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:CHERPAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:40 JORDAN DR
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11763-2051
Mailing Address - Country:US
Mailing Address - Phone:516-885-4732
Mailing Address - Fax:
Practice Address - Street 1:40 JORDAN DR
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:NY
Practice Address - Zip Code:11763-2051
Practice Address - Country:US
Practice Address - Phone:516-885-4732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-04
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education