Provider Demographics
NPI:1316144066
Name:BINCAROUSKY, CHRISTINE (LPN)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:
Last Name:BINCAROUSKY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 275
Mailing Address - Street 2:
Mailing Address - City:TUCKAHOE
Mailing Address - State:NJ
Mailing Address - Zip Code:08250-0275
Mailing Address - Country:US
Mailing Address - Phone:609-226-1476
Mailing Address - Fax:609-628-4694
Practice Address - Street 1:6529 BLACK HORSE PIKE
Practice Address - Street 2:KIDS CARE PEDIATRICS
Practice Address - City:EGG HARBOR TWP.
Practice Address - State:NJ
Practice Address - Zip Code:08234-4509
Practice Address - Country:US
Practice Address - Phone:609-645-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NE00386800164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse