Individual
CHRISTINE MARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
358 VETERANS MEMORIAL HWY STE 9, COMMACK, NY 11725-4326
(631) 974-0522
Mailing address
15 JADE ST, OAKDALE, NY 11769-2425
(631) 974-0522
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
014506-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02145191
—
NY
Enumeration date
07/18/2006
Last updated
01/18/2019
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