Individual
PASCALE CHRISPHONTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
752 FULTON ST, FARMINGDALE, NY 11735-3642
(631) 249-2765
Mailing address
4 MELODY DR, FARMINGDALE, NY 11735-6420
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
269270
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/15/2008
Last updated
09/13/2013
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