Provider Demographics
NPI:1467927673
Name:FRISTACHI, CRISTINA ROSE (RN)
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:ROSE
Last Name:FRISTACHI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8134 260TH ST
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11004-1402
Mailing Address - Country:US
Mailing Address - Phone:718-710-7626
Mailing Address - Fax:
Practice Address - Street 1:8134 260TH ST
Practice Address - Street 2:
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11004-1402
Practice Address - Country:US
Practice Address - Phone:718-710-7626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-04
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY720723163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health