Provider Demographics
NPI:1639215650
Name:CONTINO, CHRISTINE DENISE (RD, CDN, CDE)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:DENISE
Last Name:CONTINO
Suffix:
Gender:F
Credentials:RD, CDN, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 ASPEN CT
Mailing Address - Street 2:
Mailing Address - City:PORT JEFFERSON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11776-3105
Mailing Address - Country:US
Mailing Address - Phone:631-828-4290
Mailing Address - Fax:
Practice Address - Street 1:621 ROUTE 25A
Practice Address - Street 2:
Practice Address - City:MOUNT SINAI
Practice Address - State:NY
Practice Address - Zip Code:11766-2027
Practice Address - Country:US
Practice Address - Phone:631-476-4600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003436-1133NN1002X, 133V00000X
800945133V00000X
222-0107133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
Not Answered133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP3667189OtherOXFORD
NY6175188OtherCIGNA
NYP3667192OtherOXFORD
NYP3667189OtherOXFORD