Provider Demographics
NPI:1891532719
Name:MACEDONIA, CHRISTINA ELANA (RN)
Entity type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:ELANA
Last Name:MACEDONIA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2846 CHARLES RD
Mailing Address - Street 2:
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-1016
Mailing Address - Country:US
Mailing Address - Phone:516-780-5744
Mailing Address - Fax:
Practice Address - Street 1:2846 CHARLES RD
Practice Address - Street 2:
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-1016
Practice Address - Country:US
Practice Address - Phone:516-780-5744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-09
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY688382163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse