Provider Demographics
NPI:1841411576
Name:DUGAN, CHRISTINA ALEXIS (CPNP)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:ALEXIS
Last Name:DUGAN
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1465 MADISON AVE
Mailing Address - Street 2:4TH FLOOR ROOM 4-89
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6511
Mailing Address - Country:US
Mailing Address - Phone:212-659-8060
Mailing Address - Fax:212-241-2064
Practice Address - Street 1:1465 MADISON AVE
Practice Address - Street 2:4TH FLOOR ROOM 4-89
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6511
Practice Address - Country:US
Practice Address - Phone:212-659-8060
Practice Address - Fax:212-241-2064
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF381502363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics