Individual provider · Type 1 NPI
Christian Defournoy Jr.
Family Nurse Practitioner · Staten Island, NY
NPI number
1093041501
Active
Practice location
1880 Hylan Blvd Ste 2R14
Staten Island, NY 10305-2116
Mailing address
845 Castleton Ave
Staten Island, NY 10310-1808
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 719660 (NY) |
| Licensed Practical Nurse | 164W00000X | 289076 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | F351785 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1093041501
Christian Defournoy Jr.'s National Provider Identifier is 1093041501, issued on Oct 19, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Staten Island, NY. The record was last updated on Nov 7, 2025.