Provider Demographics
NPI:1457718553
Name:BRESLIN, CHRISTINE B (RN)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:B
Last Name:BRESLIN
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 1:18 BROAD ST.
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:NY
Mailing Address - Zip Code:13790-2198
Mailing Address - Country:US
Mailing Address - Phone:607-798-7117
Mailing Address - Fax:607-798-0074
Practice Address - Street 1:18 BROAD ST.
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:NY
Practice Address - Zip Code:13790-2198
Practice Address - Country:US
Practice Address - Phone:607-798-7117
Practice Address - Fax:607-798-0074
Is Sole Proprietor?:No
Enumeration Date:2016-01-20
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY263129-1163WR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0400XNursing Service ProvidersRegistered NurseRehabilitation