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CHRISTOPHER ETIENNE
NPI 1124698907
Licensed Practical Nurse in Elmhurst, NY

Active since June 25, 2021
4825 92ND ST, ELMHURST, NY 11373(929) 240-8996 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Christopher Etienne NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTOPHER ETIENNE (NPI 1124698907) is an individual licensed practical nurse in Elmhurst, New York, licensed in New York (335732) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1124698907
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameCHRISTOPHER ETIENNE
Location Address4825 92ND STElmhurst, NY 11373-4052
Mailing Address4825 92nd StElmhurst, NY 11373-4052
Phone(929) 240-8996
Sole ProprietorNo
Enumeration DateJune 25, 2021
NPPES CertifiedJune 25, 2021
✔ NPI 1124698907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 335732
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
4825 92ND ST, Elmhurst, NY 11373
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Other Identifiers 1

Medicaid335732NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christopher Etienne's NPI number?

The NPI number for Christopher Etienne is 1124698907. It was assigned to this individual provider in the NPPES registry on June 25, 2021.

Where is Christopher Etienne located?

Christopher Etienne practices at 4825 92nd St, Elmhurst, NY 11373. The listed phone number is (929) 240-8996.

What is Christopher Etienne's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Christopher Etienne was last updated on June 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.