Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | F4310421 | NY |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | F4310421 | NY |
NPI | 1275048712 |
---|---|
Provider Name | Christianne Sol Calderon |
First Address | New York, NY 10032-3733 |
Second Address | New York, NY 10032 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2017 |
Last Update Date | 13/04/2020 |