Individual
CHRISTINE E RACCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ED, S.D.A.
Contact information
Practice address
19 SILAS WOODS RD, MANORVILLE, NY 11949-3052
(631) 580-4005
(631) 471-1954
Mailing address
19 SILAS WOODS RD, MANORVILLE, NY 11949-3052
(631) 580-4005
(631) 471-1954
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1044421
NY
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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