Individual
MRS. CHRISTINA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 CLINTON AVE, LYNBROOK, NY 11563-4129
(631) 879-2707
Mailing address
19 CLINTON AVE, LYNBROOK, NY 11563-4129
(631) 879-2707
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
509595111
—
Other
Enumeration date
09/07/2014
Last updated
09/07/2014
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