Individual
CHRISTY HRISTODOULIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
211 E 79TH ST, NEW YORK, NY 10075-0819
(212) 879-1600
Mailing address
21109 42ND AVE APT 3F, BAYSIDE, NY 11361-2895
(347) 533-2430
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011233
NY
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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