Individual
MRS. CHRISTINE PATRICIA HISCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
10 CHERRY AVE, BETHPAGE, NY 11714-1501
(516) 644-4020
(516) 644-4129
Mailing address
10 CHERRY AVE, BETHPAGE, NY 11714-1501
(516) 644-4020
(516) 644-4129
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
064637
NY
Other
Enumeration date
12/23/2011
Last updated
12/23/2011
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