Provider Demographics
NPI:1912189473
Name:MEGILL, CHRISTINA D (RPA-C)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:D
Last Name:MEGILL
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 W 24TH ST
Mailing Address - Street 2:CORNELL CLINICAL TRIALS UNITS- FIRST FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-1913
Mailing Address - Country:US
Mailing Address - Phone:212-746-7163
Mailing Address - Fax:212-746-7203
Practice Address - Street 1:119 W 24TH ST
Practice Address - Street 2:CORNELL CLINICAL TRIALS UNITS- FIRST FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-1913
Practice Address - Country:US
Practice Address - Phone:212-746-7163
Practice Address - Fax:212-746-7203
Is Sole Proprietor?:No
Enumeration Date:2007-11-27
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008227363AM0700X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program