Basic Information
Provider Information
NPI: 1255497681
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZAMMIT
FirstName: CHRISTINE
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential: PA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 31 STONELEIGH RD
Address2:  
City: SCARSDALE
State: NY
PostalCode: 105834731
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1400 PELHAM PKWY S
Address2:  
City: BRONX
State: NY
PostalCode: 104611138
CountryCode: US
TelephoneNumber: 7189183060
FaxNumber: 7189184469
Other Information
ProviderEnumerationDate: 12/29/2006
LastUpdateDate: 09/08/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/08/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363A00000X008807NYY Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 

No ID Information.


Home