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Active NPI 1124698907 Individual Practitioner Male Practitioner

Christopher Etienne

Licensed Practical Nurse • Elmhurst, NY

Professional Overview & Biography Verified Profile Summary

Christopher Etienne is a registered healthcare professional specializing in Licensed Practical Nurse in Elmhurst, NY. Practice services are available at 4825 92ND ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4825 92nd St

Elmhurst, NY 113734052

Telephone 9292408996

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Elmhurst, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
43 Specialists

Practicing in Elmhurst, NY (23738 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-06-25
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 335732

An individual 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
335732 (NY)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active June 25, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 25, 2021

Registered at 4825 92ND ST, ELMHURST, NY 113734052 (Tel: 9292408996)

📍
Updated Business Mailing Address June 25, 2021

Registered at 4825 92ND ST, ELMHURST, NY 113734052

👤
Provider Name / Credentials Updated June 25, 2021

Recorded as CHRISTOPHER ETIENNE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2021

Licensed Practical Nurse (License #335732 in NY)

🟢
Initial NPI Registration & Enumeration June 25, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124698907
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2021
Last Update: June 25, 2021
Sole Proprietor: No
Update or Correct Profile

Mailing Address

4825 92nd St

Elmhurst, NY 113734052

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.