Provider Demographics
NPI:1508630344
Name:MARCHETTI, CHRISTINE (RVT, RDSC)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:MARCHETTI
Suffix:
Gender:F
Credentials:RVT, RDSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8710 NORTHERN BLVD FL 2
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-1641
Mailing Address - Country:US
Mailing Address - Phone:800-728-0849
Mailing Address - Fax:
Practice Address - Street 1:8710 NORTHERN BLVD FL 2
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-1641
Practice Address - Country:US
Practice Address - Phone:800-728-0849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography