Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Christian Defournoy Jr.

Individual provider Registered Nurse · NPI 1093041501

Christian Defournoy Jr. is a Registered Nurse in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009
Specialties on file
3

Practice location Address checks out

1880 Hylan Blvd Ste 2R14
Staten Island, NY 10305-2116
Phone: (929) 312-1468
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F351785 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 719660 (NY)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 289076 (NY)

Record details

NPI number1093041501
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 19, 2009
Last updated in NPPESNovember 7, 2025
Certification dateNovember 7, 2025

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