Provider Demographics
NPI:1780178285
Name:FILIPPAKIS, CHRISTINA P (PA-C)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:P
Last Name:FILIPPAKIS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 MYRTLE AVE
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06604-5444
Mailing Address - Country:US
Mailing Address - Phone:203-814-7166
Mailing Address - Fax:
Practice Address - Street 1:401 MYRTLE AVE
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06604-5444
Practice Address - Country:US
Practice Address - Phone:203-814-7166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-18
Last Update Date:2018-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4272363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical