Provider Demographics
NPI:1801879143
Name:STURIANO, CHRISTOPHER V (PHD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:V
Last Name:STURIANO
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2708 39TH AVE
Mailing Address - Street 2:APT 4D
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-2734
Mailing Address - Country:US
Mailing Address - Phone:646-244-5017
Mailing Address - Fax:
Practice Address - Street 1:5 E 78TH ST
Practice Address - Street 2:SUITE 1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-0105
Practice Address - Country:US
Practice Address - Phone:646-244-5017
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016050103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical