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Christy Defournoy
NPI 1134408602 · on the registry since 2011 · sole proprietor
Practice
- Address
- 68 Jefferson Ave
Bay Shore, NY 11706 - Phone
- (631) 482-0219
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-01-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York