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Individual

CHRISTINE MORDENTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED.

Contact information

Practice address
3352 85TH ST, APT. 405, JACKSON HEIGHTS, NY 11372-1528
(518) 727-1507
Mailing address
3352 85TH ST, APT. 405, JACKSON HEIGHTS, NY 11372-1528
(518) 727-1507

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
204417
NY

Other

Enumeration date
04/03/2015
Last updated
04/03/2015
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