Basic Information
| Provider Information | |||||||||
| NPI: | 1710243845 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TSIMOYIANIS | ||||||||
| FirstName: | CHRISTIE | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5141 BROADWAY | ||||||||
| Address2: | 3RE | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100341159 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2129324132 | ||||||||
| FaxNumber: | 2129325369 | ||||||||
| Practice Location | |||||||||
| Address1: | 5141 BROADWAY | ||||||||
| Address2: | 3RE | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100341159 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2129324132 | ||||||||
| FaxNumber: | 2129325369 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/03/2012 | ||||||||
| LastUpdateDate: | 12/06/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | 274065 | NY | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.