Provider Demographics
NPI:1316516453
Name:UHMANN, CRISTA
Entity type:Individual
Prefix:
First Name:CRISTA
Middle Name:
Last Name:UHMANN
Suffix:
Gender:F
Credentials:
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 1516
Mailing Address - Street 2:
Mailing Address - City:SOUTHOLD
Mailing Address - State:NY
Mailing Address - Zip Code:11971-0939
Mailing Address - Country:US
Mailing Address - Phone:631-790-9436
Mailing Address - Fax:
Practice Address - Street 1:700 OLD COUNTRY RD STE 2
Practice Address - Street 2:
Practice Address - City:RIVERHEAD
Practice Address - State:NY
Practice Address - Zip Code:11901-2129
Practice Address - Country:US
Practice Address - Phone:631-379-8884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-23
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered