Provider Demographics
NPI:1356527204
Name:SINHA, CHRISTA M (RN MS NPP CASAC)
Entity type:Individual
Prefix:MRS
First Name:CHRISTA
Middle Name:M
Last Name:SINHA
Suffix:
Gender:F
Credentials:RN MS NPP CASAC
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:1212 ROUTE 25A
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11790-1919
Mailing Address - Country:US
Mailing Address - Phone:631-731-1474
Mailing Address - Fax:
Practice Address - Street 1:1212 ROUTE 25A
Practice Address - Street 2:SUITE 2A
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11790-1919
Practice Address - Country:US
Practice Address - Phone:631-731-1474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-10
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF400944163WP0807X, 163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult