Provider Demographics
NPI:1376066829
Name:SHUMAN, CHRISTINE P (RRN, DHSC, MSN)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:P
Last Name:SHUMAN
Suffix:
Gender:F
Credentials:RRN, DHSC, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1623 3RD AVE
Mailing Address - Street 2:SUITE 36B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-3645
Mailing Address - Country:US
Mailing Address - Phone:917-254-5259
Mailing Address - Fax:
Practice Address - Street 1:1623 3RD AVE
Practice Address - Street 2:SUITE 36B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-3645
Practice Address - Country:US
Practice Address - Phone:917-254-5259
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY237960163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse