Individual
CHRISTINE K RADZIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.A.CCCSLP
Contact information
Practice address
125 MINEOLA AVE, SUITE 108, ROSLYN HTS, NY 11577-2023
(516) 625-8551
Mailing address
169 KILBURN RD, GARDEN CITY, NY 11530-1327
(516) 248-7045
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2108
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2108
LICENSE
NY
Enumeration date
05/01/2007
Last updated
07/08/2007
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