Individual
CHRISTINE BROOKE AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT, ATR-BC
Contact information
Practice address
1270 BROADWAY, NEW YORK, NY 10001-3211
(212) 419-1520
Mailing address
2454 33RD ST # 2, ASTORIA, NY 11102-1137
(917) 776-1304
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
001990-1
NY
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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