Provider Demographics
NPI:1922304146
Name:FLORES, CRISTIN MARIE (RN)
Entity Type:Individual
Prefix:MRS
First Name:CRISTIN
Middle Name:MARIE
Last Name:FLORES
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 1:3 MACINTOSH LN
Mailing Address - Street 2:
Mailing Address - City:SELDEN
Mailing Address - State:NY
Mailing Address - Zip Code:11784-5400
Mailing Address - Country:US
Mailing Address - Phone:631-470-2511
Mailing Address - Fax:
Practice Address - Street 1:3 MACINTOSH LN
Practice Address - Street 2:
Practice Address - City:SELDEN
Practice Address - State:NY
Practice Address - Zip Code:11784-5400
Practice Address - Country:US
Practice Address - Phone:631-470-2511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-05
Last Update Date:2011-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY628433-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse