Individual
CHRISTOPHER CHRISTODOULOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
169 PUTNAM HL, STONY BROOK, NY 11794-0001
(631) 632-9510
(631) 632-5870
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-2990
(631) 444-1560
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
012708
NY
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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