Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | F336237-1 | NY |
N | 363LW0102X | Nurse Practitioner - Women's Health | F420573-1 | NY |
NPI | 1063732337 |
---|---|
Provider Name | Christine Vanhoy |
First Address | Cornwall, NY 12518-1370 |
Second Address | Pine Bush, NY 12566-7113 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2010 |
Last Update Date | 10/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03916947 | (05) | NY |