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Individual

DR. CHRISTINA M SQUILLANTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM D

Contact information

Practice address
1815 WADING RIVER MANOR RD, WADING RIVER, NY 11792-2193
(631) 929-0280
(631) 929-0286
Mailing address
1815 WADING RIVER MANOR RD, WADING RIVER, NY 11792-2193
(631) 929-0280
(631) 929-0286

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
033.0134154
VT
183500000X
Pharmacist
Primary
066296
NY
183500000X
Pharmacist
PHCY-04561
NH

Other

Enumeration date
10/11/2018
Last updated
03/20/2022
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