Individual
MS. BRIDIE CHRISTOFORATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.S.W
Contact information
Practice address
14 MONTROSE LN, EAST NORTHPORT, NY 11731-1337
(516) 512-1348
Mailing address
14 MONTROSE LN, EAST NORTHPORT, NY 11731-1337
(516) 512-1348
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
094135-1
NY
104100000X
Social Worker
Primary
094135
NY
Other
Enumeration date
06/01/2016
Last updated
05/31/2022
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