Provider Demographics
NPI:1720542582
Name:DRUMM, CRISTINA (FNP, PMHNP)
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:
Last Name:DRUMM
Suffix:
Gender:F
Credentials:FNP, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:448 2ND AVE W
Mailing Address - Street 2:
Mailing Address - City:EAST NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11731-3401
Mailing Address - Country:US
Mailing Address - Phone:347-886-3977
Mailing Address - Fax:
Practice Address - Street 1:1 OLD COUNTRY RD STE 115
Practice Address - Street 2:
Practice Address - City:CARLE PLACE
Practice Address - State:NY
Practice Address - Zip Code:11514-1845
Practice Address - Country:US
Practice Address - Phone:347-886-3977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-25
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY343919363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily